Jacquelynne Marie Keller

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

200 S Ryan Dr Apt 7203
Red Oak, TX 75154-4270

Phone

(469) 337-5097

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1184121444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RYAN DR APT 7203",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544270",
            "telephone_number": "469-337-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RYAN DR APT 7203",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544270",
            "telephone_number": "469-337-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JACQUELYNNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Deanna Johnson, DNP, RN, WHNP-BC
• Paula Johnson, MS-SLP
• Lekesha Shanta Jones, LCSW
• Sophia T Jones
• Jalen Joseph
• Anika Khan
• Christine Kindred
• Jennifer Knauth, OTD, OTR/L
• Henry Thomas Knudson, PHARMD
• Yonas Churuko Kolaso, PHARMD

• Doula in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.