MARILOU KELLER (NPI# 1518079979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518079979 |
| Entity Type | Individual |
| Full Name | MARILOU KELLER |
| Credential | CNS |
| Practice Address |
301 N San Jacinto St Hemet CA 92543-3119 |
| Mailing Address |
37197 Bunchberry Ln Murrieta CA 92562-3259 |
| Practice Telephone | 9517666460 |
| Practice Fax Number | 9517666459 |
| Mailing Telephone | 9517666460 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | CNS2201 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA NUMBER | 05D1062719 | 01 |
| CA | NPI | 1639109457 | 01 |
| Street Address |
301 N SAN JACINTO ST |
| City | HEMET |
| State | CA |
| Zip Code | 92543-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277088 | Stanley D Schinke | Specialist | 301 N San Jacinto St, Hemet, CA 92543-3113 | 2005-06-30 |
| 1578920419 | Ayala Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 301 N San Jacinto St, Hemet, CA 92543-3119 | 2016-01-22 |
| 1396079596 | Kay A Erdmann Md Inc | Pain Medicine | 301 N San Jacinto St, Ste 101, Hemet, CA 92543-3119 | 2009-09-22 |
| 1225222029 | Hematology/oncology Consultants | Durable Medical Equipment & Medical Supplies | 301 N San Jacinto St, Hemet, CA 92543-3119 | 2007-09-05 |
| 1851458798 | Kay Ardnt Erdmann | Pain Medicine | 301 N San Jacinto St, Ste 101, Hemet, CA 92543 | 2007-01-02 |
| 1720194772 | Hematology Oncology Consultants | Non-Pharmacy Dispensing Site | 301 N San Jacinto St, Hemet, CA 92543-3119 | 2006-08-22 |
| 1639109457 | Hematology Oncology Consultants | Specialist | 301 N San Jacinto St, Hemet, CA 92543-3119 | 2006-07-04 |
| 1982674065 | Hemet Healthcare Surgicenter, Inc. | Clinic/Center | 301 N San Jacinto St, Ste B, Hemet, CA 92543-3113 | 2006-01-23 |
| 1558368605 | Evelyn Mendoza | Specialist | 301 N San Jacinto St, Hemet, CA 92543-3113 | 2005-07-05 |
| 1689671034 | Kishore Sehgal | Specialist | 301 N San Jacinto St, Hemet, CA 92543-3113 | 2005-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1386243228 | Jennifer Mccoy | Clinical Nurse Specialist | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-10-21 |
| 1992311757 | Jose Chavez | Clinical Nurse Specialist | 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 | 2020-09-17 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
| 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.