ELIZABETH KELLER (NPI# 1174059620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174059620 |
Entity Type | Individual |
Full Name | ELIZABETH KELLER |
Credential | MD |
Practice Address |
1500 S Main St Fort Worth TX 76104-4917 |
Mailing Address |
6409 Widgeon Dr Plano TX 75024-6041 |
Practice Telephone | 8177021173 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
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 |
1164955639 | Elizabeth Kay Keller | Nurse Practitioner | 2605 S Miller St, Ste 100, Santa Maria, CA 93455-1774 | 2017-04-11 |
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 |
1500 S MAIN ST |
City | FORT WORTH |
State | TX |
Zip Code | 76104-4917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518964634 | Akber M Ashraf | Internal Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2005-07-05 |
1518567395 | Jordan Loeffelholz | Pediatrics | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-10-29 |
1891305827 | Sandra Bialose | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-08-04 |
1467060889 | Melissa Godfrey Wood | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-22 |
1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
1952919144 | Chinyere Lilian Nkwocha | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-14 |
1033727227 | Haley Leverett | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-07-14 |
1447875760 | Lauren Courtney Thompson | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-06-12 |
1356965883 | Arjun Kulandaivelu | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2020-06-01 |
1831710482 | Oliver Taylor | Family Medicine | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
Find all providers in zip 76104 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
1942828371 | Ellener Harper | Student in an Organized Health Care Education/Training Program | 9232 Oldwest Trl, Fort Worth, TX 76131-3114 | 2020-07-13 |
1396374005 | Mikel Robert Bell | Student in an Organized Health Care Education/Training Program | 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 | 2020-04-04 |
1750919171 | William Thomas Cates | Student in an Organized Health Care Education/Training Program | 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 | 2020-03-31 |
1710514690 | Javier Eduardo Ordonez | Student in an Organized Health Care Education/Training Program | 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 | 2020-03-23 |
1548896749 | Eric Bash | Student in an Organized Health Care Education/Training Program | 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 | 2020-03-19 |
1700417821 | Abigail U Davis | Student in an Organized Health Care Education/Training Program | 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 | 2020-01-28 |
1699312439 | Lacey Jane Arnett | Student in an Organized Health Care Education/Training Program | 3305 West Cantey St, Fort Worth, TX 76129-0001 | 2019-11-27 |
1699322396 | Anastasia Davis | Student in an Organized Health Care Education/Training Program | 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 | 2019-08-19 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76104 |
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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.