LISA KELLER (NPI# 1457410540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457410540 |
| Entity Type | Individual |
| Full Name | LISA KELLER |
| Other Name | LISA C KELLER |
| Credential | CRNP |
| Practice Address |
1240 S Broad St Ste 200 Lansdale PA 19446-5395 |
| Practice Telephone | 2153613376 |
| Practice Fax Number | 2154123587 |
| Mailing Telephone | 2153613376 |
| Mailing Fax Number | 2154123587 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP009116 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009116 | PA | 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 |
1240 S BROAD ST STE 200 |
| City | LANSDALE |
| State | PA |
| Zip Code | 19446-5395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243983 | Amy L Jones | Physician Assistant | 1240 S Broad St Ste 200, Lansdale, PA 19446 | 2005-11-21 |
| 1457665580 | Charles J Capaci | Physician Assistant | 1240 S Broad St Ste 200, Lansdale, PA 19446-5395 | 2010-07-30 |
| 1811175649 | David Andrew Kasper | Dermatology | 1240 S Broad St Ste 200, Lansdale, PA 19446-5395 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
| 1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
| 1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
| 1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
| 1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
| 1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
| 1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
| 1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
| Find all providers in zip 19446 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
| 1932453446 | Lois Marie Chappell | Nurse Practitioner | 840 South Valley Forge Road, Cvs Minute Clinic, Lansdale, PA 19446-4242 | 2012-11-06 |
| 1437401288 | Lauren Slade | Nurse Practitioner | 307 Cowpath Rd, Lansdale, PA 19446-1513 | 2012-10-03 |
| 1881910354 | Lucile Thelusmond | Nurse Practitioner | 840 S Valley Forge Rd, Lansdale, PA 19446-4242 | 2010-04-08 |
| 1518100593 | Diane Biancalana Alesi | Nurse Practitioner | 108 Cowpath Road, Lansdale, PA 19446 | 2009-04-07 |
| 1134784929 | Katelin Phelan | Nurse Practitioner | 840 S Valley Forge Rd, Lansdale, PA 19446-4242 | 2019-05-07 |
| 1497229017 | Erin Shea | Nurse Practitioner | 1970 N Broad St, Lansdale, PA 19446 | 2019-01-16 |
| 1023593274 | Mollie Rovnak | Nurse Practitioner | 1970 N Broad St, Lansdale, PA 19446-1002 | 2018-10-03 |
| 1922512383 | Tiffany Ann Hafner | Nurse Practitioner | 840 S Valley Forge Rd, Lansdale, PA 19446-4242 | 2017-11-21 |
| 1992217137 | Rebecca Ohliger | Nurse Practitioner | 1970 N Broad St, Lansdale, PA 19446-1002 | 2017-10-27 |
| Find all providers in LANSDALE | ||||
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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.