MS. LISA KELLER CPNP NPI 1316105075

NPI Information

NPI: 1316105075
Provider Name: MS. LISA KELLER, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1675 HIGHLAND AVE
ROOM P4 4118
MADISON, WI
ZIP 53792
Phone: (608) 890-8198
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MS. Lisa Keller, CPNP is a pediatrics nurse practitioner in Madison, WI. MS. Lisa Keller, CPNP NPI is 1316105075. 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:

1675 HIGHLAND AVE
ROOM P4 4118
MADISON, WI
ZIP 53792-002
Phone: (608) 890-8198
Fax: (608) 265-9721

The NPI 1316105075 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 5/29/2008 and was last updated on 5/29/2008.

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	163WP0200X	Registered Nurse	Pediatrics	104212-030	WISCONSIN	No
2	363LP0200X	Nurse Practitioner	Pediatrics	97062	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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