HEIDI MARIE KELLER (NPI# 1609365139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609365139 |
| Entity Type | Individual |
| Full Name | HEIDI MARIE KELLER |
| Practice Address |
1520 Germantown St Dayton OH 45417-3318 |
| Mailing Address |
5331 Logan Ave Dayton OH 45431-2760 |
| Practice Telephone | 9372695816 |
| Mailing Telephone | 9372695816 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
441859 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801088356 | Heidi E Keller | Counselor | 30 Sparta Ave., Sparta, NJ 07871 | 2007-08-17 |
| 1588948269 | Heidi Jane Keller | Chiropractor | 412 Red Hill Ave, Suite11, San Anselmo, CA 94960-2450 | 2011-09-29 |
| 1447533799 | Heidi Blasio Keller | Pharmacist | 1305 Gause Blvd, Slidell, LA 70458-3015 | 2011-09-22 |
| 1366679136 | Heidi N. Keller | Physician Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2009-06-18 |
| Street Address |
1520 GERMANTOWN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409090 | Pravesh B Patel | Psychiatry & Neurology | 1520 Germantown St, Dayton, OH 45417-3318 | 2005-12-30 |
| 1881107662 | Keiana Burch | Case Manager/Care Coordinator | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-11-15 |
| 1598277816 | Sherry Schroy | Case Manager/Care Coordinator | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-10-26 |
| 1922510270 | Krystal Roscoe | Case Manager/Care Coordinator | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-10-26 |
| 1740792092 | Shawndale Preston | Case Manager/Care Coordinator | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-10-26 |
| 1124558283 | Sid Cohen | Pharmacist | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-06-12 |
| 1154854180 | Jennifer Richad | Pharmacist | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-04-06 |
| 1528590007 | Sandra Steinhelfer | Nursing Care | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-04-03 |
| 1386176410 | Charles Fiden Jr. | Counselor | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-03-29 |
| 1326589706 | William Buchanan | Social Worker | 1520 Germantown St, Dayton, OH 45417-3318 | 2017-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871957910 | Ashley Marie Wright | Registered Nurse | 7301 Poe Ave, Dayton, OH 45414-2559 | 2016-04-05 |
| 1184826752 | Deborah Jean Wilson | Registered Nurse | 1303 Catalpa Dr, Dayton, OH 45406 | 2007-06-04 |
| 1306458039 | Nicole Louise Zale | Registered Nurse | 714 E Main St, Dayton, OH 45426-2909 | 2020-08-24 |
| 1508478132 | Allison P Hooper | Registered Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-17 |
| 1619595824 | William Dennis Griffith | Registered Nurse | 4977 Northcutt Pl, Dayton, OH 45414-3839 | 2020-07-14 |
| 1700402369 | Meshelle L Smith | Registered Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-06-19 |
| 1295351187 | Alea Manning | Registered Nurse | 4977 Northcutt Pl, Dayton, OH 45414-3839 | 2020-06-17 |
| 1710509831 | Emylee R Racheter | Registered Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-05-12 |
| 1780206151 | Julie Marie Custer | Registered Nurse | 716 E Main St, Dayton, OH 45426-2909 | 2020-05-08 |
| 1790305266 | Deborah Ryan Hall | Registered Nurse | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-04-24 |
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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.