EMMA KELLER (SLP) – Speech-Language Pathologist, NPI 1336576354

EMMA KELLER (SLP) is a healthcare provider. based in Portland, Oregon. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SA12274 (FL). The NPI Number for EMMA KELLER (SLP) is 1336576354

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
EMMA KELLER (SLP)
NPI
1336576354
Phone
(419) 306-8391
Address
910 N HARBOUR DR
Enumeration Date
4 October 2013
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773679772
Graduation Year
2012 (14 years ago)
PAC ID
3779917505
Group Practice PAC ID
3274962790
Professional Enrollment ID
I20200102001167
Address ID
FL349945516ST3400XLNXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

100 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OR

Provider Addresses for EMMA KELLER (SLP)

  • 910 N HARBOUR DR

    #327

    PORTLAND, OR 972177582

    Phone: (419) 306-8391

    Type: Mailing

  • 4702 CORTEZ RD W

    BRADENTON, FL 342102801

    Phone: (941) 253-5166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200102001167IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder78547$0
92526Treatment of swallowing and feeding disorder5812$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression5545$0
92610Evaluation of swallowing function2217$0
View full utilization report →

Insurance plans in this area (ZIP 97217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274962790View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What identifier follows EMMA KELLER (SLP) across health systems?
The NPI 1336576354 uniquely identifies EMMA KELLER (SLP) in U.S. healthcare data.
Quick check: is EMMA KELLER (SLP) active?
Public NPPES data shows EMMA KELLER (SLP) with an active NPI status right now.
What type of care does EMMA KELLER (SLP) provide?
EMMA KELLER (SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EMMA KELLER (SLP)?
EMMA KELLER (SLP) is associated with Portland, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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