KRISTEN JO KELLER (NPI# 1619319753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619319753 |
Entity Type | Individual |
Full Name | KRISTEN JO KELLER |
Credential | DNP, ACNP-BC |
Practice Address |
5757 W Thunderbird Rd Ste E456 Glendale AZ 85306-4650 |
Practice Telephone | 0286564570 |
Practice Fax Number | 6028654575 |
Mailing Telephone | 0286564570 |
Mailing Fax Number | 6028654575 |
Enumeration Date | 2013-07-17 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP5063 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP5063 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7400 E Osborn Rd, Scottsdale, AZ 852516432 | 4808824000 | |
485 S Dobson Rd Ste 201, Chandler, AZ 85224 | 4807284700 | 4807284747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730706490 | Kristen Mary Keller | Social Worker | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2020-06-29 |
1780190769 | Kristen M Keller | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2017-12-28 |
1437686375 | Kristen Helene Keller | Physician Assistant | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2017-05-22 |
1205119021 | Kristen L Keller | Counselor | 26 Mount Zion Rd, York, PA 17402-2601 | 2011-09-28 |
1992088405 | Kristen Keller | Social Worker | 5 Market Sq, Suite 5b, Amesbury, MA 01913-2497 | 2011-09-21 |
1881973717 | Kristen Sue Keller | Counselor | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2011-08-09 |
Street Address |
5757 W THUNDERBIRD RD STE E456 |
City | GLENDALE |
State | AZ |
Zip Code | 85306-4650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477871002 | Robert John Hoffman | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2010-05-06 |
1275980435 | Brett Emery | Physician Assistant | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2016-05-18 |
1760775050 | Vicki Sein | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306 | 2011-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1790242758 | La Medical Clinic Inc | Nurse Practitioner | 501 W Glenoaks Blvd Ste 200, Glendale, CA 91202-4045 | 2019-02-26 |
1720518715 | Yulissa Familia | Nurse Practitioner | 6506 Myrtle Ave Fl 1, Glendale, NY 11385-6250 | 2017-06-13 |
1346600681 | Jackie Huang | Nurse Practitioner | 1505 Wilson Ter Ste 205, Glendale, CA 91206-4071 | 2016-02-29 |
1356685473 | Margarita Ukman | Nurse Practitioner | 6829 Myrtle Ave, Glendale, NY 11385-7234 | 2012-11-15 |
1659539419 | Ginger Lynn Harrison | Nurse Practitioner | 7776 N 58th Ave, Glendale, AZ 85301-7875 | 2008-05-29 |
1093760167 | Stacey Beth Gregory | Nurse Practitioner | 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 | 2006-05-24 |
1174598775 | Kristin N Smith | Nurse Practitioner | 5303 W Hackamore Dr, Glendale, AZ 85310-4418 | 2006-02-17 |
1023003829 | Ann Elizabeth Tyrrell | Nurse Practitioner | 8314 N 49th Dr, Glendale, AZ 85302-6307 | 2005-09-18 |
1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
1841763240 | Shwe Phyo | Nurse Practitioner | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2019-01-08 |
Find all providers in GLENDALE |
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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.