MS. LISA KELLER (NPI# 1316105075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316105075 |
| Entity Type | Individual |
| Full Name | MS. LISA KELLER |
| Credential | CPNP |
| Practice Address |
1675 Highland Ave Room P4 4118 Madison WI 53792-0002 |
| Practice Telephone | 6088908198 |
| Practice Fax Number | 6082659721 |
| Mailing Telephone | 6088908198 |
| Mailing Fax Number | 6082659721 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
104212-030 | WI | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
97062 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016646 | Lisa Keller | Registered Nurse | 576 Longacre Ave, Woodmere, NY 11598-2308 | 2018-06-10 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1447692660 | Lisa Keller | Counselor | 9500 N Oracle Rd, Suite 162j, Tucson, AZ 85704-8523 | 2013-07-30 |
| 1497780795 | Lisa Kay Keller | Obstetrics & Gynecology | 940 Royal Avenue, Suite 350, Medford, OR 97504-6194 | 2006-07-12 |
| 1801843867 | Lisa M Keller | Physical Therapist | 136 Euclid Ave, Wadsworth, OH 44281-1501 | 2006-05-27 |
| 1285184291 | Lisa Keller | Social Worker | 715 Lake St Ste 800, Oak Park, IL 60301-1417 | 2016-10-13 |
| 1215393285 | Lisa Keller | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2016-01-06 |
| 1164675989 | Lisa S Keller | Optometrist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2008-10-23 |
| 1508066309 | Lisa Ann Keller | Nurse Practitioner | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-07-19 |
| 1205051562 | Lisa Gwyn Keller | Physician Assistant | 6169 S Balsam Way, Suite 250, Littleton, CO 80123-3062 | 2007-04-13 |
| Street Address |
1675 HIGHLAND AVE ROOM P4 4118 |
| City | MADISON |
| State | WI |
| Zip Code | 53792-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592004 | Timothy Duane Starner | Pediatrics | 1675 Highland Ave, Madison, WI 53792 | 2005-10-20 |
| 1760090674 | Megan Elizabeth Benoy | Genetic Counselor, MS | 1675 Highland Ave, Madison, WI 53792-0002 | 2020-07-16 |
| 1114589678 | Amanda Marie Fabry | Occupational Therapist | 1675 Highland Ave, Madison, WI 53792-2424 | 2019-07-05 |
| 1942868831 | Jaclyn A Miller | Nurse Practitioner | 1675 Highland Ave, Madison, WI 53792-0002 | 2019-06-05 |
| 1891259107 | Alida M Yee | Nurse Practitioner | 1675 Highland Ave, Madison, WI 53792-0002 | 2019-01-31 |
| 1902384217 | Elizabeth Bender Roe | Nurse Practitioner | 1675 Highland Ave, Madison, WI 53792-0002 | 2018-07-30 |
| 1972097830 | Anne K Hoeft | Nurse Practitioner | 1675 Highland Ave, Madison, WI 53792-0002 | 2018-06-14 |
| 1720577299 | Jennika Lindsay Finup | Nurse Practitioner | 1675 Highland Ave, Madison, WI 53792-0002 | 2018-05-09 |
| 1417472341 | Julia Zepnick Benjamin | Psychologist | 1675 Highland Ave, Madison, WI 53792-5724 | 2017-08-11 |
| 1992230767 | Brandon D Tomlin | Pediatrics | 1675 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1700334745 | Krista Lee Rieger | Pharmacist | 600 Higland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2016-09-20 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1417363888 | Jenna Bender | Pharmacist | 600 Highland Avenue, 1530, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2014-07-07 |
| 1841619889 | Ying Wang | Psychiatry & Neurology | 600 Highland Ave,h4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2014-04-07 |
| Find all providers in zip 53792 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1508907494 | Amy Morgan Dunlop | Nurse Practitioner | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-02-12 |
| 1851404396 | Susan Leigh Algood | Nurse Practitioner | 200 Gleaves Street, Suite A, Madison, TN 37115 | 2006-08-17 |
| 1033176342 | Jayme Lynn Frank | Nurse Practitioner | 5 Wallingford Cir, Madison, WI 53717-1033 | 2006-04-28 |
| 1386608925 | Sharon A Frierdich | Nurse Practitioner | 9 Oak Grove Dr # 9, Madison, WI 53717-2513 | 2006-04-12 |
| 1497723951 | Beth Van Den Langenberg | Nurse Practitioner | 600 Highland Avenue, Madison, WI 53792 | 2006-03-10 |
| 1720050735 | Wendy Mackey | Nurse Practitioner | 230 Boston Post Rd, Madison, CT 06443-2225 | 2006-02-03 |
| 1255338737 | Susan Margaret Heighway | Nurse Practitioner | 1500 Highland Ave, Rm 169, Madison, WI 53705-2274 | 2005-06-30 |
| 1538760897 | Shelby Lynne Johnston | Nurse Practitioner | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-11-03 |
| 1215537659 | Erica Leonna Anderson | Nurse Practitioner | 101 Lexington Dr, Madison, MS 39110-6985 | 2020-10-26 |
| Find all providers in MADISON | ||||
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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.