ADAM D. KELLER


Address: 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310
Phone: 9109078922

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).

Provider Overview

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

Taxonomy

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

Other Providers ADAM KELLER

NPI Name Taxonomy Address Enumeration
1629684915 Adam C Keller Peer Specialist 400 Stoddard Rd, Richmond, MI 48062-2505 2020-09-22

Office Location

Street Address 2817 REILLY ROAD
WOMACK ARMY MEDICAL CENTER
City FORT BRAGG
State NC
Zip Code 28310

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT BRAGG
Zip Code 28310

Improve Information

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Dataset Information

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.

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