JENNIFER KEELER (NPI# 1962027235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962027235 |
| Entity Type | Individual |
| Full Name | JENNIFER KEELER |
| Credential | PMHNP |
| Practice Address |
101 Progress Pkwy Sullivan MO 63080-2359 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2018030570 | MO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020016174 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1780 Old Highway 50 E Ste 102, Union, MO 630843397 | 8884031071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754968 | Jennifer Newsham Keeler | Speech-Language Pathologist | 1805 W City Dr, Suite G, Elizabeth City, NC 27909-9646 | 2011-05-04 |
| 1700108974 | Jennifer Suzanne Keeler | Speech-Language Pathologist | 820 Turnpike St, Suite 104, North Andover, MA 01845-6125 | 2010-02-16 |
| Street Address |
101 PROGRESS PKWY |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003927773 | Felipe Eljaiek | Internal Medicine | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2006-08-31 |
| 1407470537 | Katie Dominique Sammon | Social Worker | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-06-04 |
| 1164054151 | Rochelle Marie Morgan | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-02-07 |
| 1336783059 | Emily S Brendel | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-11-06 |
| 1285275552 | Ijeoma Grace Elobuike | Dentist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-10-08 |
| 1891336038 | Hannah Elizabeth Bledsoe | Registered Nurse | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-09-30 |
| 1952862732 | Jill Marie Kuenzel | Dental Hygienist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-03-26 |
| 1285123968 | William James Mckenzie Iv | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2018-05-08 |
| 1104328210 | Danielle Bealmear | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2018-03-05 |
| 1093236077 | Toni Marie Glover | Licensed Practical Nurse | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
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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.