MR. JOHN (KEVIN) KEELEY (NPI# 1003923574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003923574 |
| Entity Type | Individual |
| Full Name | MR. JOHN (KEVIN) KEELEY |
| Credential | LMHP |
| Practice Address |
8303 Dodge St Omaha NE 68114-4108 |
| Mailing Address |
Po Box 2797 Omaha NE 68103-2797 |
| Practice Telephone | 4023548350 |
| Practice Fax Number | 4023548355 |
| Mailing Telephone | 4023544230 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
859 | NE | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
621 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 068132 | 05 | |
| NE | 47037660433 | 05 | |
| IA | 1003923574 | 05 |
| Street Address |
8303 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1538771381 | Krista Villarreal | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-21 |
| 1437769163 | Julie Juddi | Dietitian, Registered | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-06 |
| 1023631934 | Jaclyn E Kenney | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-26 |
| 1215558846 | Linda Yen Nong | Pharmacist | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-05 |
| 1265990303 | Amanda J Nelson | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1194283226 | Haley R Mcmillin | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1336618578 | Emily Schlautman | Physician Assistant | 8303 Dodge St, Suite 225, Omaha, NE 68114-4108 | 2018-11-16 |
| 1134602105 | Michael Gurtler | Genetic Counselor, MS | 8303 Dodge St, Omaha, NE 68114-4108 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727037 | Jackie Rae Myers | Counselor | 15704 Corby St, Omaha, NE 68116-2042 | 2020-07-16 |
| 1760037337 | Jessica Farber | Counselor | 14710 W Dodge Rd Ste 200, Omaha, NE 68154-2027 | 2019-08-09 |
| 1063990984 | Ryan Evans Counseling, LLC | Counselor | 12728 Augusta Ave Ste 150, Omaha, NE 68144-3753 | 2018-08-02 |
| 1679079297 | Personal Touch & Care Enterprise Inc. | Counselor | 5635 Kansas Ave Ste 225, Omaha, NE 68104-1226 | 2018-04-03 |
| 1407361348 | Amanda N Boothe | Counselor | 14168 Castelar Plz Apt 10, Omaha, NE 68144-2346 | 2017-12-13 |
| 1619329943 | Elizabeth Blake | Counselor | 3412 S 49th Ave, Omaha, NE 68106-4010 | 2016-07-11 |
| 1376916023 | Moving Forward Counseling LLC | Counselor | 11060 Oak St Ste 2, Omaha, NE 68144-4826 | 2015-11-03 |
| 1548595168 | Claire A Cunningham | Counselor | 9839 S 168th Ave, Suite 2c, Omaha, NE 68136-1113 | 2009-10-15 |
| 1538311493 | Laura Michelle Pryor | Counselor | 7909 L St, Omaha, NE 68127-1725 | 2008-10-22 |
| 1881851707 | Renewal Mental Health Services | Counselor | 2405 S 130th Cir, Omaha, NE 68144-2528 | 2008-05-19 |
| Find all providers in OMAHA | ||||
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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.