LISA MICHELLE KELLER (NPI# 1568529014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568529014 |
| Entity Type | Individual |
| Full Name | LISA MICHELLE KELLER |
| Credential | NP |
| Practice Address |
830 Harrison Avenue Moakley, 3rd Floor Boston MA 02118-2905 |
| Mailing Address |
720 Harrison Avenue Dob 503 Boston MA 02118 |
| Practice Telephone | 6176386428 |
| Practice Fax Number | 6176385756 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN258803 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110087835A | 05 |
| 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 |
830 HARRISON AVENUE MOAKLEY, 3RD FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929342 | Jennifer F Tseng | Surgery | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2005-11-16 |
| 1629569702 | Kelsey Jean Burke | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2018-05-23 |
| 1881131019 | Nora Carr | Nurse Practitioner | 830 Harrison Avenue, Moakley, Suite 1200, Boston, MA 02118 | 2017-01-25 |
| 1336697382 | Samuel Robert Lajoie | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3500, Boston, MA 02118 | 2016-09-20 |
| 1790148864 | Charlene Julien | Nurse Practitioner | 830 Harrison Avenue, Moakley, 2nd Floor, Boston, MA 02118-2335 | 2016-04-05 |
| 1740640739 | Nicholas Peter Simms | Physician Assistant | 830 Harrison Avenue, Suite 1400, Boston, MA 02118-2784 | 2016-03-03 |
| 1699150938 | Brandy Nichole Kenner Keefe | Nurse Practitioner | 830 Harrison Avenue, Suite 1400, Boston, MA 02118 | 2015-07-28 |
| 1508278169 | Hossein Sadrzadeh | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-05-29 |
| 1952729717 | Eric I Marks | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-03-30 |
| 1780018077 | Kimberly Ann Nehiley | Nurse Practitioner | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1629539838 | David Anthony Cornetta | Nurse Practitioner | 860 Washington St Fl 7, Boston, MA 02111-1521 | 2019-03-29 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1134637507 | Moriah Kate Jacobellis | Nurse Practitioner | 55 Fruit St # Street8, Boston, MA 02114-2621 | 2018-01-18 |
| 1790295244 | Jaimee Michelle Cathers | Nurse Practitioner | 110 Francis St # St3b, Boston, MA 02215-5501 | 2017-10-10 |
| 1831527340 | Laura Nelson | Nurse Practitioner | 326 Commonwealth Avenue, Apt Br, Boston, MA 02115 | 2013-10-18 |
| 1174890966 | Caitlin Walsh Brennan | Nurse Practitioner | 150 S Huntington Ave # 152m, Boston, MA 02130-4817 | 2011-11-21 |
| 1407162142 | Maura E. Hossack | Nurse Practitioner | 801 Mass Ave, Crosstown 2, Boston, MA 02118-2605 | 2010-08-19 |
| 1790008571 | Amy Catherine Baugh | Nurse Practitioner | 110 Francis St Ste 2a, Boston, MA 02215-5501 | 2010-03-08 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on LISA MICHELLE 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.