MRS. JENNIFER KELLER (NPI# 1508120940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508120940 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KELLER |
| Other Name | MISS JENNIFER SANGER |
| Credential | APN |
| Practice Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Practice Telephone | 7753232080 |
| Practice Fax Number | 7753238216 |
| Mailing Telephone | 7753232080 |
| Mailing Fax Number | 7753238216 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | TAPN700791 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN001408 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | TAPN | TAPN700791 | 01 |
| NV | STATE LICENSE | APN001408 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580339 | Jennifer Pillard Keller | Behavioral Analyst | 12310 Bailey Bridge Rd, Midlothian, VA 23112-3118 | 2017-07-13 |
| 1073929527 | Jennifer Keller | Home Health Aide | 38462 Oak Hill Ln Apt 202, Willoughby, OH 44094-7644 | 2014-07-04 |
| 1578821385 | Jennifer Keller | Residential Treatment Facility, Physical Disabilities | 1190 Arrowhead Ln, Peconic, NY 11958-1602 | 2012-04-30 |
| 1447489372 | Jennifer Marie Keller | Clinical Neuropsychologist | 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 | 2009-07-13 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1396362125 | Jennifer Lyn Keller | Registered Nurse | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2020-06-27 |
| 1730705708 | Jennifer Jo Keller | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2020-06-24 |
| 1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
| 1932601374 | Jennifer Ardell Keller | Nurse Practitioner | 2007 Montreal Rd, Tucker, GA 30084-5253 | 2018-03-01 |
| Street Address |
5590 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1336767417 | Jee Eun Lee | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2020-07-06 |
| 1700364338 | Rachel A Chattin | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1093079998 | Andrea Renee Black | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-26 |
| 1942589262 | Ashlie D. Teixeira-smith | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2011-08-04 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1801107891 | Jennifer Marie Minard | Registered Nurse | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-06-24 |
| 1891027991 | Jennifer Renee Price | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556705 | Malina Josephine Ruiz | Nurse Practitioner | 1500 E 2nd St Ste 400p1, Reno, NV 89502-1262 | 2020-10-19 |
| 1902410830 | Christina Ann Krainbrink | Nurse Practitioner | 2094 Long Meadow Dr, Reno, NV 89521-4506 | 2020-09-08 |
| 1598382244 | Kathy Goldsworthy | Nurse Practitioner | 2211 Enterprise Rd, Reno, NV 89521-7438 | 2020-06-29 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1659834091 | Janet Choi | Nurse Practitioner | 6629 S Virginia St, Reno, NV 89511-1168 | 2019-04-11 |
| 1295218691 | Thrive Enterprises LLC | Nurse Practitioner | 7111 S Virginia St Ste A12, Reno, NV 89511-1135 | 2018-09-11 |
| 1932688280 | Gerald Justin Enox | Nurse Practitioner | 370 Bible Camp Rd, Reno, TX 75462 | 2018-08-08 |
| 1750860995 | Darci Page | Nurse Practitioner | 500 Damonte Ranch Pkwy Ste 703, Reno, NV 89521-3911 | 2018-08-08 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| Find all providers in RENO | ||||
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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.