Patricia L. Keller, FNP-C, LNS, RN, SANE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0990083 Issued in CO

Practice address

3850 N Grant Avenue
Suite 200
Loveland, CO 80538

Phone

(970) 624-5170

Fax

(970) 669-7521

NPI assigned

Jun 18, 2010

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1194046565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 N GRANT AVE STE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N GRANT AVENUE",
            "address_2": "SUITE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-624-5170",
            "fax_number": "970-669-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Silvermound",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "80127",
            "country_code": "US",
            "telephone_number": "720-319-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Silvermound",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "80127",
            "country_code": "US",
            "telephone_number": "720-319-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, LNS, RN, SANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilasha Katwal, M.D.
• Taylor Katz
• Kevin Wayne Keefe, DO
• Bradford R Keeler, MD
• Julie Ann Kellaway, PH.D.
• Megan Kelley
• Mary Lucy Kellogg, CCC-SLP
• Kathryn Kellum
• Laurie Underwood Kellum, MA, LPC
• Hauna Kelly-Ontiveros, BS

• Family Nurse Practitioner in Loveland, CO
• Providers in Loveland, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.