SAMUEL KELLER (NPI# 1255716643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255716643 |
| Entity Type | Individual |
| Full Name | SAMUEL KELLER |
| Practice Address |
6 Victory Ln Ste. 8 Liberty MO 64068-2395 |
| Mailing Address |
215 Shuman Blvd Ste 401 Naperville IL 60563-8123 |
| Practice Telephone | 8168832660 |
| Practice Fax Number | 8167929819 |
| Mailing Telephone | 6303035380 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2017032373 | MO | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | KS1615 | KS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | HEARING AID DISPENSER LICENSE | KS1615 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Nw Englewood Rd Ste 170, Gladstone, MO 641184012 | 8168832676 | 8162854666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356159 | Samuel Keller | Student in an Organized Health Care Education/Training Program | 505 Parnassus, Box 0110, San Francisco, CA 94301 | 2014-04-08 |
| Street Address |
6 VICTORY LN STE. 8 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-2395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063588838 | Rodney Lee Beard | Dentist | 6 Victory Ln, Suite 1, Liberty, MO 64068-2395 | 2006-11-25 |
| 1205304540 | John A. Deakins Dds PC | Dentist | 6 Victory Ln, Ste 1, Liberty, MO 64068-2053 | 2018-11-05 |
| 1134594963 | Nicole Rojas | Counselor | 6 Victory Ln, 150, Liberty, MO 64068-2395 | 2015-12-04 |
| 1578947479 | Hometown Hearing & Audiology, Inc. | Audiologist | 6 Victory Ln, 8, Liberty, MO 64068 | 2015-07-10 |
| 1851671051 | Ryann Anne Mallonee | Social Worker | 6 Victory Ln, Ste 102, Liberty, MO 64068-2395 | 2011-08-19 |
| 1720124597 | Rebecca Lynn Morris | Psychologist | 6 Victory Ln, Ste 120, Liberty, MO 64068 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265868384 | Ryan Waller | Hearing Instrument Specialist | 872 S 291 Hwy, Liberty, MO 64068-2296 | 2013-09-20 |
| 1508841933 | Hearing Associates Inc | Hearing Instrument Specialist | 1177 West Kansas St, Liberty, MO 64068 | 2005-12-08 |
| 1447648928 | Hearing Health Associates, LLC | Hearing Instrument Specialist | 9 Victory Dr, Liberty, MO 64068-3807 | 2015-01-06 |
| 1609202753 | Kevin D Sadler | Hearing Instrument Specialist | 105 N Clayview Dr, Liberty, MO 64068-1116 | 2013-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021665 | Angela Sloan | Hearing Instrument Specialist | 143 Long Rd, Chesterfield, MO 63005-1223 | 2020-07-29 |
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
| 1861040081 | Kristi Cavaness | Hearing Instrument Specialist | 201 S Mount Auburn Rd Ste D, Cape Girardeau, MO 63703-4912 | 2019-08-30 |
| 1154977312 | Kristen Mccorkle | Hearing Instrument Specialist | 4240 Blue Ridge Blvd Ste 200, Kansas City, MO 64133-1704 | 2019-08-14 |
| 1477014090 | Heather Dawn Wright | Hearing Instrument Specialist | 5571 Gretna Rd Ste A, Branson, MO 65616-7646 | 2019-03-27 |
| 1477072924 | Bill Brody Rink | Hearing Instrument Specialist | 2640 E 32nd St Ste 11, Joplin, MO 64804-4311 | 2017-09-15 |
| 1093238800 | Lisa Ann Elmore | Hearing Instrument Specialist | 1001 E Chestnut Expy, Springfield, MO 65802-3625 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
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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.