ADAM D. KELLER (NPI# 1356729453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356729453 |
Entity Type | Individual |
Full Name | ADAM D. KELLER |
Practice Address |
2817 Reilly Road Womack Army Medical Center Fort Bragg NC 28310 |
Practice Telephone | 9109078922 |
Practice Fax Number | 9109076069 |
Mailing Telephone | 9109078922 |
Mailing Fax Number | 9109076069 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN0000180523 | TN | Nursing Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684915 | Adam C Keller | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-09-22 |
Street Address |
2817 REILLY ROAD WOMACK ARMY MEDICAL CENTER |
City | FORT BRAGG |
State | NC |
Zip Code | 28310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861470114 | Earl Gordon Benson | Physician Assistant | 2817 Reilly Road, Womack Army Medical Center Mcxc Cod Credentials, Fort Bragg, NC 28310 | 2006-01-06 |
1255955605 | Elisabeth May Potts | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road, Fort Bragg, NC 28310-7301 | 2020-06-02 |
1518590983 | James Ma | Military Health Care Provider | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2020-02-13 |
1508406406 | Michelle Worsley | Social Worker | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2020-01-09 |
1447897731 | Brandin Moreland | Pharmacist | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2019-12-05 |
1194360818 | Christopher A. Legge | Counselor | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-11-18 |
1255976023 | Bryan Richley | Occupational Therapist | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-11-15 |
1558902494 | Sarah Hutchison | Physician Assistant | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2019-10-02 |
1346897303 | Logan Drake Hirsch | Anesthesiology | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-08-23 |
1982251054 | Bernard Lease | Anesthesiology | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-08-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
Find all providers in zip 28310 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558850651 | John Ryan Mcinerney | Registered Nurse | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2018-05-03 |
1902036841 | Cathy Ann Fantulin | Registered Nurse | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2009-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
1265044218 | Lolade Ogunleye | Registered Nurse | 101 Mannin Drive, Chapel Hill, NC 27514-1660 | 2020-08-20 |
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
1316493174 | Maria Mercedes Evangelista | Registered Nurse | 8044 Hartham Park Ave, Raleigh, NC 27616-9302 | 2016-08-31 |
1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
1326378035 | Tina Nowak | Registered Nurse | 501 S Broad St, Brevard, NC 28712-4044 | 2009-12-31 |
1942421508 | Benjamin Joseph Mastridge | Registered Nurse | 402 North Main St, Creedmoor, NC 27522-8815 | 2007-05-01 |
1073739876 | Judy S. Ayers | Registered Nurse | 2563 Eric Ln, K, Burlington, NC 27215-4303 | 2007-04-18 |
1164550406 | Edith M. Chance | Registered Nurse | 4913 Forbush Rd, East Bend, NC 27018-7855 | 2007-02-28 |
Find all providers with the same taxonomy |
City | FORT BRAGG |
Zip Code | 28310 |
Please comment or provide details below to improve the information on ADAM D. KELLER.
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.