MRS. TRACY DIANE KELLER (NPI# 1902146400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902146400 |
| Entity Type | Individual |
| Full Name | MRS. TRACY DIANE KELLER |
| Credential | SLP |
| Practice Address |
17045 El Camino Real Ste 106 Houston TX 77058-2623 |
| Mailing Address |
2810 Creek Bend Dr Friendswood TX 77546-6038 |
| Practice Telephone | 2814805648 |
| Practice Fax Number | 2814805691 |
| Mailing Telephone | 9136086617 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 108100 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422847 | Tracy Keller | Pharmacist | 11729 Beltsville Dr, Beltsville, MD 20705-3147 | 2014-06-19 |
| 1245619907 | Tracy C Keller | Counselor | 6980 N Port Washington Rd, Ste 202, Milwaukee, WI 53217 | 2015-05-27 |
| 1770924748 | Tracy Beth Keller | Dental Hygienist | 420 Superior St, Sandusky, OH 44870-1849 | 2013-07-08 |
| 1629015300 | Tracy L Keller | Physical Therapist | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-06-01 |
| Street Address |
17045 EL CAMINO REAL STE 106 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366521080 | Mary Basich | Occupational Therapist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2006-11-03 |
| 1710584511 | Sarah Michelle Grych | Occupational Therapist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2020-10-05 |
| 1053867176 | Connie Miller D'souza | Speech-Language Pathologist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2016-08-29 |
| 1558788406 | Marie Woods-petitti | Occupational Therapist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2014-03-27 |
| 1841540093 | Elizabeth Hernandez | Speech-Language Pathologist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2012-09-14 |
| 1962526590 | The Children's Therapy Center, Inc. | Physical Therapist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2007-03-19 |
| 1881741338 | Jennifer Francisco Ballard | Speech-Language Pathologist | 17045 El Camino Real Ste 106, Houston, TX 77058-2623 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
| 1750998571 | Ahbria Chontrelle Williams | Speech-Language Pathologist | 10830 Craighead Dr Ste 100, Houston, TX 77025-5804 | 2020-09-25 |
| 1093320194 | Jessica Caldwell | Speech-Language Pathologist | 847 T C Jester Blvd, Houston, TX 77008-6307 | 2020-09-15 |
| 1023623154 | Sarah Caspary Arcidiacono | Speech-Language Pathologist | 1900 North Loop W Ste 500, Houston, TX 77018-8120 | 2020-09-15 |
| 1285249847 | Jessica Jones | Speech-Language Pathologist | 304 Westcott St, Houston, TX 77007-7005 | 2020-09-10 |
| 1861006967 | Meghan Sharenson | Speech-Language Pathologist | 1342 Tulane St, Houston, TX 77008-4106 | 2020-09-04 |
| 1770197964 | Kailey Michelle Bostic | Speech-Language Pathologist | 2930 Plum Creek Ln Apt 1301, Houston, TX 77087-2376 | 2020-09-03 |
| 1043824691 | Melanie Yvonne Evans | Speech-Language Pathologist | 3603 Chenevert St Apt 308, Houston, TX 77004-4281 | 2020-09-01 |
| 1912519182 | Morgan Aarionne Mays | Speech-Language Pathologist | 3131 W Bellfort Ave Apt 404, Houston, TX 77054-5039 | 2020-08-19 |
| 1467063750 | Stephanie Akiko Efferding | Speech-Language Pathologist | 3031 Ellington St, Houston, TX 77088-4558 | 2020-08-11 |
| Find all providers in HOUSTON | ||||
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| 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.