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JESSICA ERIN KELLER CCC/SLP NPI 1154466464


NPI Information

NPI: 1154466464
Provider Name: JESSICA ERIN KELLER, CCC/SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
12220 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Phone: (813) 631-5805
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Jessica Erin Keller, CCC/SLP is a speech language pathologist in Tampa, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Jessica Erin Keller, CCC/SLP NPI is 1154466464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12220 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612-201
Phone: (813) 631-5805

The enumeration date for this NPI number is 2/21/2007 and was last updated on 6/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSA 8873FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1891236000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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