SUSAN KELLER (NPI# 1598736514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598736514 |
| Entity Type | Individual |
| Full Name | SUSAN KELLER |
| Credential | APN, |
| Practice Address |
130 Lincoln Place Ct Belleville IL 62221-5884 |
| Mailing Address |
4500 Memorial Drive Credentialing Department Memorial Hospital Medical Affairs Belleville IL 62226 |
| Practice Telephone | 6182572029 |
| Mailing Telephone | 6182574644 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209001731 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| 1215048327 | Susan Kathleen Kiener Keller | Counselor | 1011 W Springfield Ave, Urbana, IL 61801-3022 | 2006-08-31 |
| 1760436125 | Susan Clark Keller | Social Worker | 307 1st Ave East, Ste 3, Kalispell, MT 59901-4965 | 2006-05-20 |
| 1104201813 | Susan Keller | Physician Assistant | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132 | 2015-07-23 |
| 1508200338 | Susan Kay Keller | Counselor | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-04-23 |
| 1336416239 | Susan M Keller | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-11-20 |
| 1124144340 | Susan M. Keller | Counselor | 20 E 13th Ave, Eugene, OR 97401-3535 | 2007-03-21 |
| 1871688721 | Susan Keller | Psychologist | 631 Tennessee St, Vallejo, CA 94590-4432 | 2006-10-04 |
| 1962514091 | Susan Lynn Keller | Specialist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-08-31 |
| Street Address |
130 LINCOLN PLACE CT |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866462 | Irina Polansky | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-25 |
| 1518270016 | Pc Associates, LLC | Internal Medicine | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2010-07-26 |
| 1013238260 | Pamela A O'neal | Nurse Practitioner | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2010-06-22 |
| 1346432465 | Stephen Gregory Hipskind | Family Medicine | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-08-13 |
| 1629285515 | Karen Ann Ham | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-05-17 |
| 1548318983 | Audrey R Meyer | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-01-08 |
| 1063424984 | Kevin Wilson | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| 1982075255 | Jaclyn Valdes | Nurse Practitioner | 40 Essex St, Belleville, NJ 07109-2604 | 2015-10-13 |
| 1326441478 | Anne Leslie Kramer | Nurse Practitioner | 4120 Lebanon Ave, Belleville, IL 62221-0430 | 2014-10-03 |
| 1255779955 | Mary C. Littlejohn | Nurse Practitioner | 130 Lincoln Court Place, Belleville, IL 62221-5372 | 2013-06-05 |
| 1306487640 | Karina Agajanov | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2019-10-07 |
| 1174024806 | Emergency Services Midwest Sc | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-02-27 |
| 1922515220 | Katie Krueger | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-01-08 |
| 1548775257 | Peter Bivans | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2017-12-05 |
| 1609313758 | Marianne Guthrie | Nurse Practitioner | 340 W Lincoln St, 200, Belleville, IL 62220-1900 | 2017-01-27 |
| 1053858589 | Krystal Gilb | Nurse Practitioner | 301 W Lincoln St, Suite 201, Belleville, IL 62220-1901 | 2017-01-23 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.