PHYLLIS KEENER (NPI# 1538195045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538195045 |
| Entity Type | Individual |
| Full Name | PHYLLIS KEENER |
| Credential | N.P. |
| Practice Address |
1333 Chestnut Ave Long Beach CA 90813-2944 |
| Mailing Address |
1000 W Carson St N-25, #471 Torrance CA 90502-2004 |
| Practice Telephone | 5625998601 |
| Practice Fax Number | 5622180853 |
| Mailing Telephone | 3102223382 |
| Mailing Fax Number | 3102222882 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
199776 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1333 CHESTNUT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839121 | Laura Jaimes | Family Medicine | 1333 Chestnut Ave, Room 205, Long Beach, CA 90813-2944 | 2005-08-26 |
| 1053928259 | Bonnie Bayya | Nurse Practitioner | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2020-09-30 |
| 1417469420 | Emmanuelle Sivilay | Pharmacist | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2017-10-31 |
| 1366968661 | Amelia Trejo | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813 | 2017-08-17 |
| 1487170262 | Maria Guadalupe Juarez | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2017-08-14 |
| 1689190464 | Lisa Virginia Wilson | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813 | 2017-08-14 |
| 1790206993 | Alexander Calangian | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2017-06-28 |
| 1104346410 | Maria Hazel Manalang | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813 | 2017-06-27 |
| 1427578871 | Cecilia Go Villasenor | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2017-06-26 |
| 1851811368 | Rotha Nil | Registered Nurse | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609994771 | Nancy Fiduk | Nurse Practitioner | 2840 Long Beach Blvd Ste 230, Long Beach, CA 90806-1575 | 2007-03-27 |
| 1679502983 | Nancy L.w. Kung | Nurse Practitioner | 1333 Chestnut Ave, Long Beach, CA 90813-2944 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.