Parker Ross Keim, APCC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

20243 Issued in CA

Practice address

1107 Ream Ave
Mount Shasta, CA 96067-9768

Phone

(530) 918-2000

NPI assigned

Oct 16, 2024

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Siskiyou

  dba County of Siskiyou Behavioral Health Services

  • Community/Behavioral Health Agency
  • Mount Shasta, CA
  • NPI 1427219237
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1194545806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679768",
            "telephone_number": "530-918-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679768",
            "telephone_number": "530-918-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "PARKER",
        "middle_name": "ROSS",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "20243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Johnston
• Julia Jones, LAC., DIPL.OM
• Julie Conyers MD Inc
• Byungho Jung
• John Milo Katana, M.D.
• Kevin P Shearer, Inc.
• Breanna Kisling
• Jason Koster, PT
• Jennifer Krause
• David S. J. Kulick, D.C.

• Student in an Organized Health Care Education/Training Program in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.