SAVANNAH GRACE KELLER (NPI# 1467911685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467911685 |
| Entity Type | Individual |
| Full Name | SAVANNAH GRACE KELLER |
| Practice Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2093732816 |
| Mailing Telephone | 2093732816 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95010542 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7210 MURRAY DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093872483 | Bindu Kanathezhath Sathi | Pediatrics | 7210 Murray Dr, Stockton, CA 95210-3339 | 2007-01-03 |
| 1023647021 | Torrie Alyn-hughes Piasecki | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2020-04-02 |
| 1972139079 | Karen Lee | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2020-03-20 |
| 1093365371 | Oanh T Nguyen | Counselor | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-09-18 |
| 1215496062 | Patricia Valencia | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-03-19 |
| 1457816803 | Megan Lee Stevens | Social Worker | 7210 Murray Dr, Stockton, CA 95210-3339 | 2019-02-08 |
| 1881161479 | Amaninder Mann | Dental Hygienist | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-11-01 |
| 1851872378 | Jonathan O'brien | Physician Assistant | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-08-23 |
| 1356830384 | Louis E Herzog | Registered Nurse | 7210 Murray Dr, Stockton, CA 95210 | 2018-05-04 |
| 1811493075 | Alice Lau | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043224769 | Deborah Kay Hastie | Nurse Practitioner | 73 W March Lane, Suite F, Stockton, CA 95207 | 2006-07-28 |
| 1295366458 | Luz Elena Zapien | Nurse Practitioner | 7912 West Ln Ste 221, Stockton, CA 95210-3159 | 2020-01-27 |
| 1184192411 | Adriana Vanessa Nunez Lopez | Nurse Practitioner | 1031 Waterloo Rd, Stockton, CA 95205-4256 | 2018-11-05 |
| 1811493075 | Alice Lau | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2018-04-04 |
| 1528508173 | Katrina Lugtu Dijamco | Nurse Practitioner | 7210 Murray Dr, Stockton, CA 95210-3339 | 2017-03-01 |
| 1063625556 | Sunday Oyewole | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2007-05-08 |
| 1639295660 | Anita Quiroz | Nurse Practitioner | 89 W March Ln, Suite #1, Stockton, CA 95207-5721 | 2007-03-21 |
| 1164548103 | Elaine Loth | Nurse Practitioner | 89 W March Ln, Ste #1, Stockton, CA 95207-5721 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
| 1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
| 1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
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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.