MRS. HAYLEY L. KELLER VICE (NPI# 1841524519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841524519 |
| Entity Type | Individual |
| Full Name | MRS. HAYLEY L. KELLER VICE |
| Credential | NP |
| Practice Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7069562665 |
| Practice Fax Number | 7066572958 |
| Mailing Telephone | 7069562665 |
| Mailing Fax Number | 7066572958 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN205011 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000211956A | 05 |
| Street Address |
13570 N MAIN ST |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780649012 | Lucinda S Hill | Family Medicine | 13570 N Main St, Trenton, GA 30752-2012 | 2006-04-19 |
| 1780208835 | Shalane Marie Lamb | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2020-06-04 |
| 1518593151 | Felix D Cruz | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2020-03-16 |
| 1871152587 | Anna Katharine Horne | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2019-06-07 |
| 1962997189 | Katharine Renee Scott | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2018-06-29 |
| 1750829040 | Amy Nicole Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2017-02-07 |
| 1407210107 | Danielle C Townsend | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-08 |
| 1306209788 | Anna E Thomas | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-01 |
| 1093189540 | Jenny Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-11-20 |
| 1245600725 | Sheena Anderson-finch | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609864222 | Carolyn T Torre | Nurse Practitioner | 1479 Pennington Rd, Trenton, NJ 08618-2661 | 2005-10-07 |
| 1447594460 | Judy E Harkins | Nurse Practitioner | 218 N Broad St, Trenton, NJ 08608-1306 | 2012-11-15 |
| 1104144278 | Shohini Holden | Nurse Practitioner | 416 Bellevue Ave, Trenton, NJ 08618-4513 | 2010-05-13 |
| 1679713713 | Maria Anne Harmon | Nurse Practitioner | 911 S Main St, Trenton, FL 32693-3239 | 2009-03-03 |
| 1508926833 | Kathleen C Gaffney | Nurse Practitioner | 832 Brunswick Ave, Trenton, NJ 08638-3829 | 2006-12-08 |
| 1992872501 | Carmen Milagros Mercedes | Nurse Practitioner | 321 N Warren St, Trenton, NJ 08618-4741 | 2006-11-29 |
| 1386674505 | Peggy Ladd | Nurse Practitioner | 821 S Main St, Trenton, FL 32693-3238 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
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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.