KEITH QUEELEY (NPI# 1659923043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659923043 |
| Entity Type | Individual |
| Full Name | KEITH QUEELEY |
| Practice Address |
250 Bon Air Rd Unit B Greenbrae CA 94904-1702 |
| Mailing Address |
1102 Euclid Ave Berkeley CA 94708-1603 |
| Practice Telephone | 4154736829 |
| Practice Fax Number | 4154734113 |
| Mailing Telephone | 5104232875 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
849882 | CA | Nursing Service Providers |
| Street Address |
250 BON AIR RD UNIT B |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679592125 | Catherine Amatruda | Marriage & Family Therapist | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2006-07-18 |
| 1235769258 | Hasani Moore | Peer Specialist | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2020-01-17 |
| 1588211809 | Dawn Muriel Mcgee | Student in an Organized Health Care Education/Training Program | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2019-08-21 |
| 1275191819 | Wai Chow Leung | Registered Nurse | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2019-05-29 |
| 1629553243 | Jenna Reeder | Registered Nurse | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2018-09-28 |
| 1487164653 | Emmanuel C Ezeala | Registered Nurse | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2017-10-02 |
| 1588181614 | Cheryl Ann Fedele | Registered Nurse | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2017-08-29 |
| 1295277697 | Luis Olivera Jr. | Counselor | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2016-11-16 |
| 1962858563 | Erik Henriques | Counselor | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2016-05-12 |
| 1235536459 | Brittany Rudolph | Psychologist | 250 Bon Air Rd Unit B, Greenbrae, CA 94904-1702 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
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| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
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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.