JACQUELINE KELLER (NPI# 1205267705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205267705 |
| Entity Type | Individual |
| Full Name | JACQUELINE KELLER |
| Credential | MS, RD, CSP, CNSC |
| Practice Address |
200 W Arbor Dr San Diego CA 92103-9000 |
| Practice Telephone | 6195433133 |
| Mailing Telephone | 6195433133 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2014-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669947115 | Jacqueline Keller | Counselor | 13561 S West Bay Shore Dr Ste 201, Traverse City, MI 49684-6293 | 2018-10-11 |
| 1750713392 | Jacqueline E Keller | Physical Therapist | 8455 Fannin St, Suite B, Houston, TX 77054-4803 | 2013-08-06 |
| Street Address |
200 W ARBOR DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
| 1841806536 | Kevin Thai Nguyen | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-18 |
| 1003421256 | Jessica Lynette Montoya | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-14 |
| 1013522838 | Julianna L Gorder | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-09 |
| 1992318828 | Yodit Mekonnen Teklu | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1356954283 | Dalia Siada | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1699383588 | Rachael Ashley Gordon | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-17 |
| 1124646906 | Jeffrey David Bernstein | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 1234, San Diego, CA 92103-9000 | 2020-07-08 |
| 1639796071 | Darcie D Brown | Marriage & Family Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-01 |
| 1194340919 | Han B Dinh | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107981 | Maryann Tomovich Jacobsen | Dietitian, Registered | 9820 Willow Creek Rd Ste 490, San Diego, CA 92131-1128 | 2020-02-25 |
| 1811325558 | Janet Salvador | Dietitian, Registered | 3030 Childrens Way # Mc5029, San Diego, CA 92123-4232 | 2013-10-16 |
| 1649824319 | Kelsey Linn Theisen | Dietitian, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-30 |
| 1700231123 | Monica Wing | Dietitian, Registered | 3020 Children's Way, San Diego, CA 92123 | 2016-05-04 |
| 1548644602 | Emily Bhattacharjee | Dietitian, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2015-07-17 |
| 1841679214 | Adriana Arredondo | Dietitian, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2015-05-19 |
| 1962881326 | Nicole Sanner | Dietitian, Registered | 3020 Childrens Way, Mc5029, San Diego, CA 92123-4223 | 2015-05-19 |
| 1699154062 | Samme Fuchs | Dietitian, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2015-05-19 |
| 1891047940 | Jill Michelle Greer | Dietitian, Registered | 5776 Ruffin Rd, San Diego, CA 92123-1013 | 2012-10-12 |
| 1396956611 | Pauline Ann Nelson | Dietitian, Registered | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-05-25 |
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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.