DR. NICOLAS L KELLERMAN (NPI# 1669559993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669559993 |
| Entity Type | Individual |
| Full Name | DR. NICOLAS L KELLERMAN |
| Credential | D.C. |
| Practice Address |
4010 Sandy Brook Dr. 103 Round Rock TX 78665 |
| Practice Telephone | 5122589355 |
| Practice Fax Number | 5122365238 |
| Mailing Telephone | 5122589355 |
| Mailing Fax Number | 5122365238 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12406 | TX | Chiropractic Providers |
| Street Address |
4010 SANDY BROOK DR. 103 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432426 | Jennifer Anne Gardner Mcmorris | Chiropractor | 3000 Joe Dimaggio Blvd Ste 54, Round Rock, TX 78665-3996 | 2020-09-22 |
| 1790310076 | Josean Omar Jimenez Rodriguez | Chiropractor | 20312 Poppy Hills Trl Unit 4301, Round Rock, TX 78664-6311 | 2020-03-07 |
| 1982169165 | Marie J Derilus | Chiropractor | 102 E Old Bowman Rd Ste C, Round Rock, TX 78664-2296 | 2019-02-01 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1285158303 | Aaron Cain | Chiropractor | 2681 Gattis School Rd Ste 140, Round Rock, TX 78664-2057 | 2017-07-31 |
| 1417355330 | Lacombe Chiropractic Center Pllc | Chiropractor | 3401 Royal Vista Blvd, Unit B #102, Round Rock, TX 78681-1149 | 2014-12-09 |
| 1366858276 | Teravista Family Wellness, Pllc | Chiropractor | 4000 Sunrise Rd Ste 3200, Round Rock, TX 78665-1239 | 2014-07-11 |
| 1811311558 | Wade Woytek | Chiropractor | 2601 Red Bud Lane, Round Rock, TX 78664 | 2014-02-18 |
| 1992134217 | Cindy L Steward | Chiropractor | 3000 Joe Dimaggio Blvd # 95-b, Round Rock, TX 78665-3922 | 2013-11-07 |
| 1558702126 | Huneycutt Chiropractic PC | Chiropractor | 1106 S. Mays St, Suite 210, Round Rock, TX 78664-6746 | 2013-07-11 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on DR. NICOLAS L KELLERMAN.
| 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.