GREGORY KELLER (NPI# 1518471861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518471861 |
| Entity Type | Individual |
| Full Name | GREGORY KELLER |
| Practice Address |
829 Legion Dr Gretna LA 70056-4518 |
| Mailing Address |
Po Box 3197 Harvey LA 70059-3197 |
| Practice Telephone | 9852170584 |
| Enumeration Date | 2017-11-23 |
| Last Update Date | 2017-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699961474 | Gregory S Keller | Surgery | 221 W Pueblo St, Suite A, Santa Barbara, CA 93105-6814 | 2007-09-14 |
| 1649385287 | Gregory Lynn Keller | Psychiatry & Neurology | 1800 N 16th St, Clarinda, IA 51632-1165 | 2006-08-21 |
| 1285638965 | Gregory Cole Keller | Orthopaedic Surgery | 1325 San Marco Blvd Ste 200, Credentialing Department, Jacksonville, FL 32207-8566 | 2005-06-09 |
| Street Address |
829 LEGION DR |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098034 | Specialty Collection Services, LLC | Technician, Pathology | 940 Lonewa Ln, Monroe, LA 71203-6533 | 2020-06-22 |
| 1427674845 | Ashley Wright | Technician, Pathology | 14437 Locust St, Baton Rouge, LA 70819-3940 | 2020-06-22 |
| 1326674557 | Kwanza Quineise Gaines | Technician, Pathology | 3350 Ridgelake Dr Ste 200, Metairie, LA 70002-3831 | 2020-03-19 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1225509938 | Rosetta Marie Gabriel | Technician, Pathology | 3217 Angelique Dr, Violet, LA 70092-2851 | 2018-12-07 |
| 1841782208 | Journey Medical LLC | Technician, Pathology | 11924 Justice Ave Ste B, Baton Rouge, LA 70816-2372 | 2018-06-01 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1740780014 | Labs On The Go, LLC | Technician, Pathology | 303 Coles Creek Dr, Carencro, LA 70520-5791 | 2018-02-13 |
| 1437497674 | B.a.t. Collection Service,llc | Technician, Pathology | 2207 Liberty St, Monroe, LA 71201-3623 | 2013-01-23 |
| 1235407040 | Tenita Jackson | Technician, Pathology | 100 Jerald Dr, Monroe, LA 71203-6708 | 2011-12-07 |
| Find all providers with the same taxonomy | ||||
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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.