KELLY RENEE KELLER (NPI# 1487112918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487112918 |
| Entity Type | Individual |
| Full Name | KELLY RENEE KELLER |
| Credential | SCHOOL NURSE |
| Practice Address |
411 S Court St Marion IL 62959-2711 |
| Practice Telephone | 6189932138 |
| Mailing Telephone | 6189932198 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
041309727 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1902070642 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307381 | Kelly A Keller | Nurse Practitioner | 420 Whitehall Rd Apt B, Alameda, CA 94501-6135 | 2005-06-21 |
| 1588112643 | Kelly Keller | Counselor | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2016-09-19 |
| 1568917532 | Kelly C. Keller | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2016-08-19 |
| 1215275268 | Kelly Keller | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2013-01-26 |
| 1104172733 | Kelly Keller | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2012-08-01 |
| 1093916744 | Kelly Rene Keller | Physician Assistant | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2007-05-30 |
| 1336106699 | Kelly M Keller | Occupational Therapist | 1131 Baltimore Pike, Bel Air, MD 21014-5132 | 2006-04-28 |
| Street Address |
411 S COURT ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932315207 | Williamson County Special Ed | Local Education Agency (LEA) | 411 S Court St, Marion, IL 62959-2711 | 2007-05-15 |
| 1649736158 | Lindsay Marie Williams | Speech-Language Pathologist | 411 S Court St, Marion, IL 62959-2711 | 2019-02-20 |
| 1902070642 | Williamson Co. Special Education District | Student in an Organized Health Care Education/Training Program | 411 S Court St, Marion, IL 62959-2711 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477967529 | Joyce Jackson | Registered Nurse | 4375 Eddy Ridge Rd, Marion, NY 14505-9333 | 2014-06-17 |
| 1609219393 | Karen Scruggs | Registered Nurse | 2320 N Highway 41a, Marion, SC 29571-6481 | 2013-04-11 |
| 1477820876 | Trena Fisher | Registered Nurse | 4034 Warner Road, Marion, NY 14505 | 2011-11-30 |
| 1871938845 | Debra B Demarco | Registered Nurse | 719 N Main St, Marion, SC 29571-2517 | 2013-05-06 |
| 1730457144 | Linda A Depoint | Registered Nurse | 3863 N Main St, Marion, NY 14505-9579 | 2011-12-13 |
| 1477859932 | Cynthia Freeman | Registered Nurse | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377865 | Koren Mauch | Registered Nurse | 718 S Locust St, Sycamore, IL 60178-2227 | 2020-05-08 |
| 1861037731 | Teresa Lynnell Shiley | Registered Nurse | 7414 Cass Ave, Darien, IL 60561-3608 | 2019-11-14 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1134785108 | Patrice A Pritchard | Registered Nurse | 820 Borden Ave, Sycamore, IL 60178-3270 | 2019-05-15 |
| 1164088308 | Kristin Tilton | Registered Nurse | 150 Maplewood Dr, Sycamore, IL 60178-1225 | 2019-05-14 |
| 1710451380 | Angela L Shires | Registered Nurse | 333 W College St, Harrisburg, IL 62946-2599 | 2019-01-17 |
| 1891278396 | Marlaina Felice Reel | Registered Nurse | 1400 N Charles St, Belleville, IL 62221-4858 | 2018-09-11 |
| 1245710763 | Diana Guzman | Registered Nurse | 3424 Ruby St, Franklin Park, IL 60131-1722 | 2018-08-14 |
| 1700365764 | Peggy Lynn Cook | Registered Nurse | 3300 W Maple St, Evergreen Park, IL 60805-3044 | 2018-08-10 |
| 1407334766 | Tamra L Sanders | Registered Nurse | 110 N Kenilworth Ave Apt 4e, Oak Park, IL 60301-1216 | 2018-07-30 |
| 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.