Active NPI
Danielle Nicole Keel, O.D.
- Optometrist
- Henderson, NV
National Provider Identifier
1215212378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 798
- Practice address
- 10521 Jeffreys St
Ste. 100
Henderson, NV 89052-4180 - Phone
- (702) 724-2020
- Fax
- (702) 724-2800
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 798 | NV | Primary |
Addresses
Primary practice location
10521 Jeffreys St
Ste. 100
Henderson, NV 89052-4180
Mailing address
9664 Gentle Spirit Drive
Las Vegas, NV 89148
Phone (702) 676-8026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215212378 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1215212378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9664 GENTLE SPIRIT DRIVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-676-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 JEFFREYS ST",
"address_2": "STE. 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524180",
"telephone_number": "702-724-2020",
"fax_number": "702-724-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEL",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215212378",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.