Lisa Keeley, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

705611 Issued in CA

Practice address

8946 Madison Ave
Fair Oaks, CA 95628-4010

Phone

(530) 305-3384

NPI assigned

May 25, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1013530005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SWEENEY CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772885",
            "telephone_number": "530-305-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 MADISON AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284010",
            "telephone_number": "530-305-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "LISA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "705611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LISAKEELEY",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE",
            "identifier": "LISAKEELEY",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisak@cedarpointrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8946 Madison Ave",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956284010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manjit Kaur
• Sunpreet Kaur
• Susie Kea, B.S. FORENSIC BIOLOG
• Michael J Kearns, MD
• Sonel Kedia
• Navjot Kaur Khehra
• Neema Kianfar, MS, ATC
• Kandace Kidd
• Alexa Nichole Kidman
• Kim and Rodgers Dental Corporation

• Licensed Vocational Nurse in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.