MS. LEEANN RENEE KELLER NP NPI 1083789531

NPI Information

NPI: 1083789531
Provider Name: MS. LEEANN RENEE KELLER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1925 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501
Phone: (303) 776-1234
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MS. Leeann Renee Keller, NP is a family nurse practitioner in Longmont, CO. MS. Leeann Renee Keller, NP NPI is 1083789531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1925 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501
Phone: (303) 776-1234
Fax: (720) 494-3107

The NPI 1083789531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.1626009	COLORADO	No
2	363L00000X	Nurse Practitioner		APN.0991131-NP	COLORADO	No
3	363LF0000X	Nurse Practitioner	Family	APN.0991131-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	98776851	MEDICAID	COLORADO
2	P01479744	OTHER	COLORADO	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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