ELIZABETH KAY KELLER (NPI# 1164955639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164955639 |
| Entity Type | Individual |
| Full Name | ELIZABETH KAY KELLER |
| Credential | MSN, NP-C |
| Practice Address |
2605 S Miller St Ste 100 Santa Maria CA 93455-1774 |
| Mailing Address |
1336 Woodmere Rd Santa Maria CA 93455-4060 |
| Practice Telephone | 8058887019 |
| Practice Fax Number | 8053576509 |
| Mailing Telephone | 8052348985 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006481 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627864 | Elizabeth Greer Keller | Physician Assistant | 2021 Santa Monica Blvd Ste 440e, Santa Monica, CA 90404-2154 | 2019-09-10 |
| 1891195103 | Elizabeth Keller | Physical Therapist | 529 Tracey Dr, Panama City, FL 32404-8659 | 2014-08-25 |
| 1669073979 | Elizabeth Sarah Keller | Social Worker | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2020-11-03 |
| 1588187462 | Elizabeth Renee Keller | Physical Therapist | 110105 Pioneer Trl W Ste 201, Chaska, MN 55318-2680 | 2017-07-21 |
| 1427571934 | Elizabeth Keller | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-18 |
| 1174059620 | Elizabeth Keller | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-05-03 |
| 1215312780 | Elizabeth Anne Keller | Behavioral Analyst | 56 Maple Avenue Ext, Bethel, CT 06801-1535 | 2015-07-27 |
| 1235563131 | Elizabeth Keller | Counselor | 1301 Pine Ave, Long Beach, CA 90813-3124 | 2013-08-27 |
| 1194952671 | Elizabeth Marie Keller | Speech-Language Pathologist | 610 W Elm Ave, Monroe, MI 48162-7909 | 2009-06-11 |
| 1356524391 | Elizabeth A Keller | Nurse Practitioner | 616 W Russell Pl, San Antonio, TX 78212-3658 | 2007-12-13 |
| Street Address |
2605 S MILLER ST STE 100 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407889686 | Mary Jo Pedersen | Counselor | 2605 S Miller St, Suite 105, Santa Maria, CA 93455-1774 | 2006-07-09 |
| 1093999401 | Diana Kutz | Registered Nurse | 2605 S Miller St, Suite 102, Santa Maria, CA 93455-1774 | 2007-12-20 |
| 1861686602 | Mary Jo Pedersen | Marriage & Family Therapist | 2605 S Miller St, 105, Santa Maria, CA 93455-1774 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811223654 | Elizabeth A. Morgan | Nurse Practitioner | 340 E. Betteravia Road, Suite C, Santa Maria, CA 93454 | 2009-10-29 |
| 1205989308 | Rhonda Naomi Davis | Nurse Practitioner | 1430 E Main St Ste 102, Santa Maria, CA 93454-4831 | 2007-01-19 |
| 1912996893 | Debra Lee Hanson | Nurse Practitioner | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2005-10-14 |
| 1013518711 | Jennifer Diaz | Nurse Practitioner | 210 S Palisade Dr Ste 101, Santa Maria, CA 93454-5932 | 2020-11-08 |
| 1922620657 | Bethania Gonzalez | Nurse Practitioner | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2020-05-15 |
| 1275178758 | Chunchun Zhang | Nurse Practitioner | 201 N College Dr Ste 101, Santa Maria, CA 93454-4614 | 2019-11-08 |
| 1699323386 | Elizabeth Mikus | Nurse Practitioner | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2019-08-27 |
| 1366931750 | Padma Devi Ramiah | Nurse Practitioner | 355 Daniel Dr Ste 105, Santa Maria, CA 93454-8840 | 2018-05-02 |
| 1427545698 | Robert Francis Hernandez | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2018-04-13 |
| 1417476060 | Erika Fromhold | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-09-14 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
Please comment or provide details below to improve the information on ELIZABETH KAY KELLER.
| 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.