SUSAN LYNN KELLER (NPI# 1962514091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962514091 |
| Entity Type | Individual |
| Full Name | SUSAN LYNN KELLER |
| Credential | CRNA |
| Practice Address |
2615 E Clinton Ave Fresno CA 93703-2223 |
| Practice Telephone | 5592256100 |
| Practice Fax Number | 5592285309 |
| Mailing Telephone | 5592256100 |
| Mailing Fax Number | 5592285309 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 3275 | CA | Other Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3275 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| 1215048327 | Susan Kathleen Kiener Keller | Counselor | 1011 W Springfield Ave, Urbana, IL 61801-3022 | 2006-08-31 |
| 1760436125 | Susan Clark Keller | Social Worker | 307 1st Ave East, Ste 3, Kalispell, MT 59901-4965 | 2006-05-20 |
| 1104201813 | Susan Keller | Physician Assistant | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132 | 2015-07-23 |
| 1508200338 | Susan Kay Keller | Counselor | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-04-23 |
| 1336416239 | Susan M Keller | Pharmacist | 835 Van Houten Ave, Clifton, NJ 07013-1930 | 2011-11-20 |
| 1124144340 | Susan M. Keller | Counselor | 20 E 13th Ave, Eugene, OR 97401-3535 | 2007-03-21 |
| 1871688721 | Susan Keller | Psychologist | 631 Tennessee St, Vallejo, CA 94590-4432 | 2006-10-04 |
| 1598736514 | Susan Keller | Nurse Practitioner | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-28 |
| Street Address |
2615 E CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862335 | Gene Raymond Conley | Internal Medicine | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2005-06-27 |
| 1699372839 | Shannon Mondry | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-10-01 |
| 1285249276 | Lauren La Violette | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-15 |
| 1982218251 | Ariel Celeste Sojourner Reid | Psychologist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-03 |
| 1477164432 | Claire Henry | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-08-13 |
| 1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
| 1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
| 1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
| 1346864600 | Maria Luisa Kitongan Akia | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-02 |
| 1528681376 | Sharon Heng | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
| 1720543762 | Advanced Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | 568 E Herndon Ave Ste 103, Fresno, CA 93720-2989 | 2019-02-04 |
| 1790230886 | Jonathan Gardner | Nurse Anesthetist, Certified Registered | 2823 Fresno & R St, Fresno, CA 93721-1324 | 2016-08-18 |
| 1396872164 | Gwendolyn K Mckinney | Nurse Anesthetist, Certified Registered | 5859 E Midwick Ln, Fresno, CA 93727-5528 | 2007-02-27 |
| 1437223088 | Terry Kyrm Bavin | Nurse Anesthetist, Certified Registered | 7300 N. Fresno St., Fresno, CA 93720-2942 | 2006-11-17 |
| 1114090230 | Robert Howard Ford II | Nurse Anesthetist, Certified Registered | 2823 Fresno & R Street, Fresno, CA 93721-1365 | 2006-11-16 |
| 1972689537 | Sherry K Wiggins | Nurse Anesthetist, Certified Registered | Fresno and R Street, Fresno, CA 93721 | 2006-10-27 |
| 1568553436 | Gary Havlicek | Nurse Anesthetist, Certified Registered | 165 N Clark St, Fresno, CA 93701-2108 | 2006-09-27 |
| Find all providers in FRESNO | ||||
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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.