JAMIE JO KELLER (NPI# 1669778502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669778502 |
| Entity Type | Individual |
| Full Name | JAMIE JO KELLER |
| Credential | LPN |
| Practice Address |
4303 State Highway 42 Sturgeon Bay WI 54235-9620 |
| Practice Telephone | 9205597570 |
| Mailing Telephone | 9205597570 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 134939 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203527 | Jamie Denise Keller | Technician | 1706 N 6th St, Bismarck, ND 58501-1807 | 2020-10-24 |
| 1538583893 | Jamie Keller | Speech-Language Pathologist | 1826 Blueberry Way, Tustin, CA 92780-3907 | 2014-02-07 |
| 1396232708 | Jamie Keller | Case Manager/Care Coordinator | 12450 Merritt Rd, Chardon, OH 44024-9010 | 2018-04-20 |
| 1295002251 | Jamie L Keller | Pharmacist | 150 Niagara St, Tonawanda, NY 14150-1001 | 2011-11-18 |
| 1902946049 | Jamie Elaine Keller | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2007-02-07 |
| 1831241306 | Jamie Lynn Keller | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2007-01-17 |
| Street Address |
4303 STATE HIGHWAY 42 |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-9620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194096933 | Roberta J. Tyborski | Licensed Practical Nurse | 919 Alabama Pl Apt 9, Sturgeon Bay, WI 54235-1169 | 2012-01-25 |
| 1518298371 | Carol Gale Halvorson | Licensed Practical Nurse | 5121 Smejkal Rd, Sturgeon Bay, WI 54235-9111 | 2010-01-19 |
| 1306175344 | Kelly Swingen | Licensed Practical Nurse | 318 S Hudson Ave, Sturgeon Bay, WI 54235-3027 | 2009-12-22 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1225165517 | Linda Dekeyser | Licensed Practical Nurse | 1928 Cedar Cir, Sturgeon Bay, WI 54235-8372 | 2007-02-27 |
| 1346299484 | Jo Ann E Lyon | Licensed Practical Nurse | 7501 Y Inn Rd, Sturgeon Bay, WI 54235-8716 | 2006-05-08 |
| 1437352408 | Cynthia Carol Bruss | Licensed Practical Nurse | 1928 Cedar Cir, Sturgeon Bay, WI 54235-8372 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
Please comment or provide details below to improve the information on JAMIE JO KELLER.
| 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.