MR. JORDAN WILLIAM KELLER (NPI# 1962775395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962775395 |
| Entity Type | Individual |
| Full Name | MR. JORDAN WILLIAM KELLER |
| Credential | RRA |
| Practice Address |
27 Park St Hyannis MA 02601-5230 |
| Practice Telephone | 5088625808 |
| Mailing Telephone | 5088625808 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 243U00000X | Radiology Practitioner Assistant | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063941151 | Jordan Keller | Community Health Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2017-06-12 |
| 1487001871 | Jordan David Keller | Counselor | 2600 Executive Park Nw, Cleveland, TN 37312-2705 | 2016-05-16 |
| Street Address |
27 PARK ST |
| City | HYANNIS |
| State | MA |
| Zip Code | 02601-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430912 | Shannon J Scarry | Psychiatry & Neurology | 27 Park St, Hyannis, MA 02601-5230 | 2005-07-07 |
| 1659989374 | Joseph Medeiros | Pharmacist | 27 Park St, Hyannis, MA 02601-5230 | 2020-07-20 |
| 1962023093 | Al Fantasia | Respiratory Therapist, Registered | 27 Park St, Hyannis, MA 02601-5230 | 2020-04-29 |
| 1134753668 | Melanie Reynolds | Speech-Language Pathologist | 27 Park St, Hyannis, MA 02601-5230 | 2020-02-24 |
| 1245870815 | Jason T Wilhelm | Nurse Practitioner | 27 Park St, Hyannis, MA 02601-5203 | 2020-01-13 |
| 1306486089 | Brittany Chambers | Physician Assistant | 27 Park St, Hyannis, MA 02601-5203 | 2020-01-10 |
| 1871132779 | Kimberly Fussell | Radiology | 27 Park St, Hyannis, MA 02601-5230 | 2019-12-26 |
| 1104487719 | Alyssa Horvath | Student in an Organized Health Care Education/Training Program | 27 Park St, Hyannis, MA 02601-5203 | 2019-06-25 |
| 1881251601 | Sarah Barr Kuhn | Speech-Language Pathologist | 27 Park St, Hyannis, MA 02601-5203 | 2019-05-28 |
| 1225694615 | Leah Pacheco | Physician Assistant | 27 Park St, Hyannis, MA 02601-5230 | 2019-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
| 1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
| 1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
| 1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
| Find all providers in zip 02601 | ||||
| Taxonomy Code | 243U00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiology Practitioner Assistant |
| A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
| Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659531358 | Bonnie Meryl Zahn | Radiology Practitioner Assistant | 27 Park St, Hyannis, MA 02601-5230 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487951513 | Ann Marie L Edwards | Radiology Practitioner Assistant | 134 Black Oak Ln, Dracut, MA 01826-1300 | 2011-02-25 |
| 1558779793 | Radiology and Imaging, Inc. | Radiology Practitioner Assistant | 125 Liberty St, Springfield, MA 01103-1114 | 2014-07-31 |
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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.