DR. JENNIFER L KELLER-MCDANIEL (NPI# 1649331067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649331067 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L KELLER-MCDANIEL |
| Credential | PSYD |
| Practice Address |
300 Se 2nd St Lees Summit MO 64063-2759 |
| Practice Telephone | 8164046106 |
| Mailing Telephone | 8164046106 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2010004829 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2817 | TN | Behavioral Health & Social Service Providers |
| Street Address |
300 SE 2ND ST |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609347871 | Aastha Gupta | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2018-12-16 |
| 1750881173 | Dagan Randal Eichholz | Nurse Practitioner | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2018-02-13 |
| 1831644376 | Kathryn Perkins | Counselor | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2016-08-24 |
| 1063818151 | Janell Craig | Nurse Practitioner | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2014-11-17 |
| 1508117177 | Richard Harris Nobles Jr. | Psychologist | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2012-09-24 |
| 1124391388 | Supavan K Brown | Psychologist | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2012-02-20 |
| 1649562455 | Rachel Mcquown Linnemeyer | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2011-05-11 |
| 1508158825 | Deborah Denman White Eye | Social Worker | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2011-05-04 |
| 1790097020 | Amy Lynn Sickel | Counselor | 300 Se 2nd St, Suite 201, Lees Summit, MO 64063-2759 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528432424 | Morrison Inc | Psychologist | 709 Ne La Costa St, Lees Summit, MO 64064-1359 | 2015-11-16 |
| 1538361308 | Willis C Hallman | Psychologist | 1504 Ne Yorkshire Cir, Lees Summit, MO 64086-5459 | 2007-06-04 |
| 1508989146 | Stephen Joseph Baich | Psychologist | 2444 Sw 12th Ct, Lees Summit, MO 64081-3837 | 2007-04-09 |
| 1801929658 | Angela Wozniak Minor | Psychologist | 600 Sw Jefferson Street, Ste 206, Lees Summit, MO 64063 | 2007-03-13 |
| 1225164742 | Karen Schiess Wagner | Psychologist | 600 Sw Jefferson St #206, Lees Summit, MO 64063 | 2007-02-26 |
| 1912927575 | Linda Lea Simmons | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2006-07-19 |
| 1548293624 | Glenda G Manville | Psychologist | 409 Se Douglas St, Lees Summit, MO 64063 | 2006-07-09 |
| 1770530073 | John D Sorrick | Psychologist | 300 Sw Noel St, Suite C, Lees Summit, MO 64063-3807 | 2006-05-30 |
| 1285686089 | Adam Fellows | Psychologist | 400 Sw Longview Blvd Ste 160, Lees Summit, MO 64081-2112 | 2006-05-17 |
| 1063496487 | Scott J Symes | Psychologist | 3367 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2005-11-30 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on DR. JENNIFER L KELLER-MCDANIEL.
| 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.