SHELLY KELLER


Address: 1900 Stillwater Dr, Jonesboro, AR 72404
Phone: 8709323600

SHELLY KELLER (NPI# 1629008321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629008321
Entity Type Individual
Full Name SHELLY KELLER
Practice Address 1900 Stillwater Dr
Jonesboro
AR 72404
Mailing Address 1901 Pine Valley Ln
Jonesboro
AR 72404-8435
Practice Telephone 8709323600
Enumeration Date 2006-07-05
Last Update Date 2018-12-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SP#1597 AR Speech, Language and Hearing Service Providers

Other Providers SHELLY KELLER

NPI Name Taxonomy Address Enumeration
1063642700 Shelly D Keller Social Worker 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 2009-07-15
1275869620 Shelly R Keller Nurse Practitioner 200 1st St Sw, Rochester, MN 55905-0001 2009-10-20

Office Location

Street Address 1900 STILLWATER DR
City JONESBORO
State AR
Zip Code 72404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821696725 Sarah Deweese Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1417555319 Olivia Lawshe Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1952909863 Martha Aldridge Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1811595713 Kiara Minor Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1386241263 Kawaiala Mullen Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-05
1689280984 Amanda Pemberton Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1104432400 Morgan Kilgore Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1407461288 Howell Davis Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
1629683479 John Huffman Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
1982219747 Maranda Mcmanus Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740745967 Imove, LLC Physical Therapist 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 2019-02-01
1245728914 Karina Coats Nurse Anesthetist, Certified Registered 2409 Skyline Pt, Jonesboro, AR 72404 2018-04-27
1619325263 Kathryn Meyers Specialist/Technologist 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 2016-05-24
1922476571 Tmj and Facial Pain Center,llc Dentist 2600 Browns Lane, Ste B, Jonesboro, AR 72404 2015-09-11
1265828156 Hd Dental, Pa Dba Smile Dental Dentist 6009 Highway 1 South, Jonesboro, AR 72404 2015-04-08
1124445358 Tanner Wilson Jarrett Occupational Therapy Assistant 3114 Fox Road Suite A, Jonesboro, AR 72404 2014-03-26
1154759793 Kasey Boyd Specialist/Technologist 1717 Hwy 163, Jonesboro, AR 72404 2013-10-17
1578848610 Maria Ivonne Norman Physical Therapist 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 2011-10-20
1003198839 Rachel Hollimon Golden Speech-Language Pathologist 4410 Harrisburg Rd., Jonesboro, AR 72404 2011-09-19
1225358021 Darrell R Gann Physical Therapy Assistant 6040 Beaver Creek, Jonesboro, AR 72404 2010-06-03
Find all providers in zip 72404

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972111698 Julia Cochran Collins Speech-Language Pathologist 8222 Lullwater Ct, Jonesboro, GA 30236-3963 2020-07-20
1669007936 Amy Lee Lewis Speech-Language Pathologist 884 Plymouth Dr, Jonesboro, GA 30236-5587 2020-03-07
1013548700 Ashley Caitlin Gonzalez Speech-Language Pathologist 3215 Springwood Dr, Jonesboro, AR 72404-7750 2020-01-31
1699314989 Shanon Y Brantley Speech-Language Pathologist 505 Kelsey Dr, Jonesboro, AR 72404-8561 2020-01-03
1316425788 Kathryn Webb Speech-Language Pathologist 2131 Valley View Dr, Jonesboro, AR 72404-9031 2018-07-29
1578091567 Fatimah O Anjorin Speech-Language Pathologist 2102 Battlecreek Village Dr, Jonesboro, GA 30236-8535 2017-06-02
1770029019 Kids Place Learning Center Speech-Language Pathologist 1823 Grant Ave, Suite D and E, Jonesboro, AR 72401-6155 2017-01-10
1760927198 Amber L. Lindley Speech-Language Pathologist 1407 Marketplace Dr Ste 8&9, Jonesboro, AR 72401-5227 2016-12-20
1528422060 Cooper Educational Therapy Services Speech-Language Pathologist 966 County Road 476, Jonesboro, AR 72404-7663 2016-04-11
1770943672 Byrd Speech Therapy Providers,llc Speech-Language Pathologist 1407 Marketplace Dr, Office # 7, Jonesboro, AR 72401-5227 2016-03-04
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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