JESSICA L. KELLER


Address: 1850 Bluegrass Ave, Louisville, KY 40215-1161
Phone: 5023616000

JESSICA L. KELLER (NPI# 1871079202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871079202
Entity Type Individual
Full Name JESSICA L. KELLER
Credential PA-C
Practice Address 1850 Bluegrass Ave
Louisville
KY 40215-1161
Mailing Address 1005 Rosemary Dr
Louisville
KY 40213-1119
Practice Telephone 5023616000
Mailing Telephone 5024039995
Enumeration Date 2018-07-18
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA KELLER

NPI Name Taxonomy Address Enumeration
1265949606 Jessica Keller Behavioral Analyst 879 W 190th St Suite 400, Gardena, CA 90248 2018-01-08
1518489426 Jessica Lynn Keller Specialist/Technologist 720 46th Street South, Great Falls, MT 59405 2017-07-12
1326301144 Jessica D Keller Dentist 2532 S.r. 580, Suite 5, Clearwater, FL 33761-2906 2012-06-18
1972812063 Jessica Keller Optometrist 4401 Coleman St Ste 102, Bismarck, ND 58503-1371 2010-10-06
1952613978 Jessica Keller Physician Assistant 10000 Telegraph Rd., Oakwood Heritage Hospital, Taylor, MI 48180 2010-07-07
1841482916 Jessica Keller Pediatrics 2000 S Wheeling Ave Ste 300, Tulsa, OK 74104-5639 2007-08-13
1902414188 Jessica L Keller Social Worker 375 Bay Rd, Queensbury, NY 12804-3012 2020-07-14
1417443706 Jessica Rose Keller Developmental Therapist 6 Southside Rd, Danvers, MA 01923-1409 2018-07-10
1003308941 Jessica Maples Keller Psychologist 12 Executive Park Dr Ne Ste 300, Atlanta, GA 30329-2206 2018-06-06
1225540966 Jessica Ann Keller Physical Therapy Assistant 928 Old Smithville Rd, Mcminnville, TN 37110-6805 2017-11-03

Office Location

Street Address 1850 BLUEGRASS AVE
City LOUISVILLE
State KY
Zip Code 40215-1161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071006 Cynthia A Corrigan Pathology 1850 Bluegrass Ave, Pathology Dept, Louisville, KY 40215-1161 2005-05-31
1124654512 Uofl Health-louisville Inc General Acute Care Hospital 1850 Bluegrass Ave, Louisville, KY 40215-4021 2020-03-17
1205480977 Taylor Caitlin Cohen Physician Assistant 1850 Bluegrass Ave, Louisville, KY 40215-1161 2019-07-30
1154863496 Dennis Mcgill Nurse Practitioner 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 2016-11-16
1538510201 Prateek Mathur Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2016-06-23
1770960387 Colin Moss Emergency Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2015-05-04
1194114173 Gregory Hart Nurse Practitioner 1850 Bluegrass Ave, Louisville, KY 40215-1161 2015-01-14
1730590423 Nisha Aggarwal Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2014-05-15
1710305669 Lp Louisville Hospital South, LLC Skilled Nursing Facility 1850 Bluegrass Ave, Unit 3c, Louisville, KY 40215-1161 2014-03-28
1972924496 Thanh-diu Thi Pham Physician Assistant 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 2013-12-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225591 Alexis Garrett Physician Assistant 16993 Green Crest Ln, Louisville, KY 40245-3217 2020-11-03
1164033353 Tyler Roberts Physician Assistant Private, Louisville, KY 40241 2020-08-12
1184247231 Jeremiah Noe Physician Assistant 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 2020-05-23
1598388894 Amanda Marie Hafner Physician Assistant 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 2020-05-20
1205487170 Kenneth D Morrison Physician Assistant 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 2019-09-23
1518515444 William Wilson Physician Assistant 1037 E Caldwell St, Louisville, KY 40204-1857 2019-09-04
1760955546 Benjamin Charles Askins Physician Assistant 7906 New La Grange Rd, Louisville, KY 40222-4718 2019-01-04
1770066292 Molly Roberson Comprehensive Surgical Assistance Pllc Physician Assistant 1064 Eastern Pkwy, Louisville, KY 40217-1532 2018-09-11
1598246860 Kelsi J Barnes Physician Assistant 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 2018-08-24
1174009930 Faun Ellwood-digel Physician Assistant 275 W Walnut St, Louisville, CO 80027-2295 2018-07-16
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Competitor

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City LOUISVILLE
Zip Code 40215

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Dataset Information

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.

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