Individual provider Active NPI

Keisha Edwards, MA, SLPD CCC-SLP

  • Speech-Language Pathologist
  • Edison, NJ
National Provider Identifier
1972944858
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00381400 Issued in NJ
Practice address
29 Terry Ave
Edison, NJ 08820-3929
Phone
(908) 397-4373
Fax
(732) 694-6701
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00381400 NJ Primary

Addresses

Primary practice location

29 Terry Ave
Edison, NJ 08820-3929

Mailing address

29 Terry Ave
Edison, NJ 08820-3929
Phone (908) 397-4373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Keisha@kei2communication.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00381400NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kei 2 Communication, LLC Speech-Language Pathologist CurrentSince Jul 2, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1972944858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TERRY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203929",
            "telephone_number": "908-397-4373",
            "fax_number": "732-694-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TERRY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203929",
            "telephone_number": "908-397-4373",
            "fax_number": "732-694-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KEISHA",
        "name_prefix": "Dr.",
        "credential": "MA, SLPD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00381400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Keisha@kei2communication.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Terry Ave",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088203929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.