JENNIFER E. KELLER (NPI# 1639586209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639586209 |
| Entity Type | Individual |
| Full Name | JENNIFER E. KELLER |
| Other Name | JENNIFER E LUFT |
| Credential | APRN |
| Practice Address |
1252 N 22nd St Unit A Laramie WY 82072 |
| Mailing Address |
205 Corthell Rd Laramie WY 82070-4827 |
| Practice Telephone | 3077455364 |
| Mailing Telephone | 3073997133 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 336651808 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
33665.1808 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | WYOMING STATE BOARD OF NURSING | 33665.1808 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 West Birch St, Glenrock, WY 82637 | 3074369206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580339 | Jennifer Pillard Keller | Behavioral Analyst | 12310 Bailey Bridge Rd, Midlothian, VA 23112-3118 | 2017-07-13 |
| 1073929527 | Jennifer Keller | Home Health Aide | 38462 Oak Hill Ln Apt 202, Willoughby, OH 44094-7644 | 2014-07-04 |
| 1578821385 | Jennifer Keller | Residential Treatment Facility, Physical Disabilities | 1190 Arrowhead Ln, Peconic, NY 11958-1602 | 2012-04-30 |
| 1447489372 | Jennifer Marie Keller | Clinical Neuropsychologist | 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 | 2009-07-13 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1396362125 | Jennifer Lyn Keller | Registered Nurse | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2020-06-27 |
| 1730705708 | Jennifer Jo Keller | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2020-06-24 |
| 1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
| 1932601374 | Jennifer Ardell Keller | Nurse Practitioner | 2007 Montreal Rd, Tucker, GA 30084-5253 | 2018-03-01 |
| Street Address |
1252 N 22ND ST UNIT A |
| City | LARAMIE |
| State | WY |
| Zip Code | 82072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073525150 | Patricia L Jackson | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2006-08-13 |
| 1376859322 | Laramie Urgent Care | Clinic/Center | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2010-08-27 |
| 1346481389 | Maryellen Agnes Riley | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072 | 2009-03-22 |
| 1538360391 | Kate Wilhoit Schneider | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2007-05-30 |
| 1912047564 | Sherrie Dawn Rubio-wallace | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
| 1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
| 1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
| 1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
| 1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| Find all providers in zip 82072 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457685521 | Jennifer Christine Oiler | Nurse Practitioner | 920 E Sheridan St Ste A, Laramie, WY 82070-3868 | 2009-09-23 |
| 1649407040 | Jesse Henry | Nurse Practitioner | 1252 N 22nd St Unit B, Laramie, WY 82072-5306 | 2009-06-12 |
| 1811033442 | Amy Margaret Robohm | Nurse Practitioner | 1000 E. University Avenue, Laramie, WY 82071 | 2007-01-30 |
| 1386725653 | Carla Jill Leinen | Nurse Practitioner | 504 E Lyons St, Laramie, WY 82072-2132 | 2006-10-17 |
| 1235210451 | Wendy Burleigh King | Nurse Practitioner | 2523 E Garfield St, Suite B, Laramie, WY 82070-4989 | 2006-10-17 |
| 1598855314 | Gloria Stoddard | Nurse Practitioner | 302 Dinwiddie Rd, Laramie, WY 82070-9768 | 2006-10-13 |
| 1457456212 | Sarah Kooienga | Nurse Practitioner | 1252 N 22nd St, Unit A, Laramie, WY 82072-5306 | 2006-09-14 |
| 1932204393 | Marcia Newell | Nurse Practitioner | 1252 N 22nd St, Suite B, Laramie, WY 82072-5306 | 2006-09-13 |
| 1124001144 | Mary Evelyn Burman | Nurse Practitioner | 611 S 2nd St, Laramie, WY 82070-3617 | 2005-11-23 |
| 1588665202 | Terese J Lund | Nurse Practitioner | 413 S 21st St, Laramie, WY 82070-4323 | 2005-08-03 |
| Find all providers in LARAMIE | ||||
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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.