JORDAN DAVID KELLER (NPI# 1487001871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487001871 |
| Entity Type | Individual |
| Full Name | JORDAN DAVID KELLER |
| Practice Address |
2600 Executive Park Nw Cleveland TN 37312-2705 |
| Mailing Address |
301 S Perimeter Park Dr Suite 210 Nashville TN 37211-4143 |
| Practice Telephone | 8655250391 |
| Mailing Telephone | 8655250391 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063941151 | Jordan Keller | Community Health Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2017-06-12 |
| 1962775395 | Jordan William Keller | Radiology Practitioner Assistant | 27 Park St, Hyannis, MA 02601-5230 | 2012-02-15 |
| Street Address |
2600 EXECUTIVE PARK NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730306309 | Lesley Ann Brackett | Counselor | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2007-04-18 |
| 1861966673 | Cayci Koeneman | Social Worker | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2019-01-15 |
| 1992289680 | Carrie Lynn Kirkpatrick | Social Worker | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2018-09-19 |
| 1952815391 | Hayley Sanchez | Counselor | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2017-11-21 |
| 1609320415 | Bridget Loudermillk | Case Manager/Care Coordinator | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2016-08-10 |
| 1013371970 | Ashley Wright | Case Manager/Care Coordinator | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2016-04-07 |
| 1487025284 | Daniel Murch | Case Manager/Care Coordinator | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2015-10-19 |
| 1215329859 | Laura Gould | Case Manager/Care Coordinator | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2015-02-18 |
| 1336539139 | Machelle Johnson | Counselor | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2015-01-31 |
| 1447648761 | Dedra Spradling | Counselor | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| 1316552649 | Monisa Ramseur | Counselor | 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 | 2020-09-14 |
| 1164031076 | Michele R Princeton | Counselor | 3846 E 65th St, Cleveland, OH 44105-3560 | 2020-07-27 |
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1811522337 | Mary Cassidy | Counselor | 4128 Lorain Ave, Cleveland, OH 44113-3719 | 2020-03-04 |
| 1285272963 | Theophilus Nikia Williams | Counselor | 3521 W 54th St, Cleveland, OH 44102-5709 | 2019-12-13 |
| 1467098822 | Jordan Community Residential | Counselor | 2231 N Taylor Rd, Cleveland, OH 44112-3044 | 2019-11-20 |
| 1285275529 | Anchor Warrior Center | Counselor | 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 | 2019-10-07 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on JORDAN DAVID 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.