MRS. LISA GWYN KELLER (NPI# 1205051562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205051562 |
Entity Type | Individual |
Full Name | MRS. LISA GWYN KELLER |
Credential | PA-C |
Practice Address |
6169 S Balsam Way Suite 250 Littleton CO 80123-3062 |
Mailing Address |
6169 S Balsam Way Ste 250 Littleton CO 80123-3063 |
Practice Telephone | 3039334555 |
Practice Fax Number | 3039338147 |
Mailing Telephone | 3035265608 |
Mailing Fax Number | 3039338147 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2016-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 2016 | CO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016646 | Lisa Keller | Registered Nurse | 576 Longacre Ave, Woodmere, NY 11598-2308 | 2018-06-10 |
1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
1447692660 | Lisa Keller | Counselor | 9500 N Oracle Rd, Suite 162j, Tucson, AZ 85704-8523 | 2013-07-30 |
1497780795 | Lisa Kay Keller | Obstetrics & Gynecology | 940 Royal Avenue, Suite 350, Medford, OR 97504-6194 | 2006-07-12 |
1801843867 | Lisa M Keller | Physical Therapist | 136 Euclid Ave, Wadsworth, OH 44281-1501 | 2006-05-27 |
1285184291 | Lisa Keller | Social Worker | 715 Lake St Ste 800, Oak Park, IL 60301-1417 | 2016-10-13 |
1215393285 | Lisa Keller | Counselor | 350 E Gobbi St, Ukiah, CA 95482-5511 | 2016-01-06 |
1164675989 | Lisa S Keller | Optometrist | 1205 W Ferdon St, Litchfield, IL 62056-4454 | 2008-10-23 |
1316105075 | Lisa Keller | Registered Nurse | 1675 Highland Ave, Room P4 4118, Madison, WI 53792-0002 | 2008-05-29 |
1508066309 | Lisa Ann Keller | Nurse Practitioner | 1919 E Thomas Rd, East Building, Phoenix, AZ 85016-7710 | 2007-07-19 |
Street Address |
6169 S BALSAM WAY SUITE 250 |
City | LITTLETON |
State | CO |
Zip Code | 80123-3062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152550 | Keith A Naftulin | Podiatrist | 6169 S Balsam Way, Ste 290, Littleton, CO 80123-3087 | 2005-05-23 |
1124403118 | Chelsea Marie Freiberg | Dentist | 6169 S Balsam Way, Littleton, CO 80123-3062 | 2015-07-20 |
1093104713 | Kimberly Thornton | Dental Hygienist | 6169 S Balsam Way, Suite 330, Littleton, CO 80123-3062 | 2015-01-19 |
1275922940 | Stella Marie Farley | Dental Hygienist | 6169 S Balsam Way, Suite 330, Littleton, CO 80123-3062 | 2015-01-17 |
1679982425 | Christian Goerke | Clinic/Center | 6169 S Balsam Way, Littleton, CO 80123-3062 | 2014-08-06 |
1629419809 | Columbine Audiology, Inc | Audiologist | 6169 S Balsam Way, Suite 380, Littleton, CO 80123-3062 | 2013-07-16 |
1841638400 | Kristi Lynn Atcheson | Physical Medicine & Rehabilitation | 6169 S Balsam Way, Littleton, CO 80123-3062 | 2013-06-05 |
1417392242 | Galen T Callender Dds PC | Dentist | 6169 S Balsam Way, Suite 380, Littleton, CO 80123-3062 | 2013-05-07 |
1285977017 | Annette Laura Whitescarver | Physician Assistant | 6169 S Balsam Way, Suite # 250, Littleton, CO 80123-3062 | 2013-03-29 |
1902123334 | Kristin Rebecca Brown | Internal Medicine | 6169 S Balsam Way, Suite 190, Littleton, CO 80123-3062 | 2010-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053823708 | Audrey Marie Dertien | Physical Therapist | 8160 W Coal Mine Ave, Littleton, CO 80123 | 2017-11-02 |
1215472832 | Littleton Counseling Associates Inc | Social Worker | 5931 S. Middlefield Rd., Suite 102, Littleton, CO 80123 | 2017-01-05 |
1376099986 | Catalyst Family Health LLC | Acupuncturist | 8501 W. Union Ave., #6, Littleton, CO 80123 | 2016-09-01 |
1760938476 | Evan Ingerson | Physical Therapist | 8500 W Crestline Avenue, Suite G-5, Littleton, CO 80123 | 2016-09-01 |
1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
1053718064 | Mary Grace Helfer | Specialist/Technologist | 9585 West Powers Circle, Littleton, CO 80123 | 2014-11-20 |
1497097133 | Aaron R Beck | Chiropractor | 7735 West Long Dr., Suite 11, Littleton, CO 80123 | 2013-03-20 |
1609154145 | Ultimate Health Medical Center Inc | Chiropractor | 7735 W. Long Dr., Suite 11, Littleton, CO 80123 | 2011-08-02 |
1487894036 | Stephanie Erin Patterson | Licensed Practical Nurse | 5297 S Wadsworth Blvd, Southwest Medical Offices, Littleton, CO 80123 | 2009-02-23 |
1518122274 | Orthopedic Rehab, Inc. | Prosthetic/Orthotic Supplier | 5066 S. Wadsworth Way, Ste 128, Littleton, CO 80123 | 2008-07-22 |
Find all providers in zip 80123 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704394 | Monica Gordon | Physician Assistant | 6856 S Dover Way, Littleton, CO 80128-4054 | 2020-09-11 |
1154939023 | Anna Nguyen | Physician Assistant | 4449 S Jellison Way, Littleton, CO 80123-1181 | 2020-07-16 |
1912532151 | Kallie Keith | Physician Assistant | 7685 S Harlan St, Littleton, CO 80128-5946 | 2020-03-09 |
1255825089 | Kathryn Calderwood | Physician Assistant | 7780 S Broadway Ste 250, Littleton, CO 80122-2633 | 2018-06-15 |
1609319789 | Sarah J Hostert | Physician Assistant | 13402 W Coal Mine Ave Ste 240a, Littleton, CO 80127-5407 | 2016-11-22 |
1639626286 | Allison Griffin Moore | Physician Assistant | 7720 S Broadway Ste 350, Littleton, CO 80122-2634 | 2016-09-01 |
1124495221 | Nancy Cobb | Physician Assistant | 8966 W Bowles Ave Ste L, Littleton, CO 80123-3454 | 2015-08-25 |
1609292101 | Taralyn Hoflen | Physician Assistant | 4798 W Mineral Ave Apt 203, Littleton, CO 80128-2621 | 2014-03-10 |
1104120518 | Michelle Warrick | Physician Assistant | 8199 South Park Lane, Ste #100, Littleton, CO 80120 | 2010-12-28 |
1487964466 | Lauren E Turra | Physician Assistant | 7780 S Broadway Ste 100, Littleton, CO 80122-2633 | 2010-10-08 |
Find all providers in LITTLETON |
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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.