JACQUELYNNE MARIE KELLER (NPI# 1184121444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184121444 |
| Entity Type | Individual |
| Full Name | JACQUELYNNE MARIE KELLER |
| Practice Address |
200 S Ryan Dr Apt 7203 Red Oak TX 75154-4270 |
| Practice Telephone | 4693375097 |
| Mailing Telephone | 4693375097 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
200 S RYAN DR APT 7203 |
| City | RED OAK |
| State | TX |
| Zip Code | 75154-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1063945848 | Austin Blvd. Family Dentistry, P.C. | Dentist | 101 Austin Blvd., Ste 100, Red Oak, TX 75154 | 2017-04-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| Find all providers in zip 75154 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164273 | Jamie Crouse Gwynn | Doula | 2304 Dovetail St, Pflugerville, TX 78660-6521 | 2020-11-08 |
| 1346857935 | Sarah Delaine Williams | Doula | 2007 Lake Village Dr, Kingwood, TX 77339-3348 | 2020-09-28 |
| 1407463342 | Destany Rose Hull | Doula | 9408 Cresting Creek Dr Apt 913, Fort Worth, TX 76108-7020 | 2020-09-24 |
| 1619582608 | Kathryn Young | Doula | 1111 S Greenstone Ln, Duncanville, TX 75137-2828 | 2020-09-15 |
| 1235743386 | Nicole M. Coughlin | Doula | 2059 Indian Hills Dr, Spring Branch, TX 78070-3916 | 2020-09-06 |
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1730798828 | Ashley Marie Blythe | Doula | 2302 W Loop 289 Apt 703, Lubbock, TX 79407-1620 | 2020-07-24 |
| 1821616822 | Rynese A Davis | Doula | 650 Louis Henna Blvd Apt 4207, Round Rock, TX 78664-7646 | 2020-07-07 |
| 1295352995 | Aphrica A Farrow | Doula | 2500 Chaparral Trl, Austin, TX 78744-3614 | 2020-06-29 |
| 1194342840 | Ciarra Morgan | Doula | 5421 Texas Bluebell Dr, Spicewood, TX 78669-6889 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
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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.