Victoria Ann-Davis Kellar

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18716 Issued in CA

Practice address

1321 S Eliseo Dr
Greenbrae, CA 94904-2024

Phone

(415) 766-7405

NPI assigned

Jul 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tamalpais Speech and Feeding Therapy, Inc

  • Speech-Language Pathologist
  • Greenbrae, CA
  • NPI 1225596943
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1962810622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "415-766-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "415-766-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "VICTORIA",
        "middle_name": "ANN-DAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny D Kao, MD
• Kathryn Sexton, M.D., Martin Joffe, M.D. & Katrina Urbach, M.D, Medic
• Rosa Nina Katz
• Gurmehr Kaur, MD
• Kathleen Alane Keeling, P.T.
• Leah Morton Kelley, M.D.
• Erin Ruth Kelly II, MFT
• Jana Marie Kelly, RN, CNS
• Caroline Kent
• Carol Gaston Kerr, PH.D.

• Speech-Language Pathologist in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.