Stephanie Strunz Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4845 Issued in TN

Practice address

8712 Asheville Hwy
Knoxville, TN 37924-4501

Phone

(865) 932-3633

Fax

(865) 932-3316

NPI assigned

Jan 10, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  NPD
• Wellness Ambulatory Care Inc.

  dba BHG Medical Services Nashville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
  • NPI 1659963445
  NPD
• Wellness Ambulatory Care Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1891246658
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1053062240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 FLINT COAST WAY APT 207",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322195",
            "telephone_number": "407-403-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379244501",
            "telephone_number": "865-932-3633",
            "fax_number": "865-932-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2636 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228015",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "fax_number": "615-754-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "fax_number": "615-547-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012734",
            "country_code": "US",
            "telephone_number": "931-548-8882",
            "fax_number": "931-223-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2839 Highway 231 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607448",
            "country_code": "US",
            "telephone_number": "931-488-4814",
            "fax_number": "931-735-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "STEPHANIE",
        "middle_name": "STRUNZ",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4845",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Larue Keller, NP, RN
• Jason D Keller, DO
• Jeanna Keller, COUNSELOR
• Lauren Nicole Keller, MSN, APRN, FNP-C
• Sarah Aileen Keller, B.S.
• Amy Kelley, NP
• Christopher Karol Kelley, D.C.
• Laura Wells Kelley, FNP
• Sandra Kaye Kelley, FNP-BC
• Scott David Kelley, PHARMD

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.