Keleac Ventures LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KELEAC VENTURES LLC

Doing business as

Accelerated Wellness

Practice address

4128 Maison RDG
Dallas, TX 75219-3044

Phone

(214) 233-5802

NPI assigned

Jul 6, 2024

Last updated

Jul 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herbert Kevin Coates Jr., FNPNPI 1770020380

Title

Owner

Phone

(214) 233-5802

Specialties & licenses 1

Addresses

Other names 1

• Accelerated Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herbert Kevin Coates Jr., MSN, FNP-C

  • Family Nurse Practitioner
  • Oakdale, LA
  • NPI 1770020380
  NPD (past) Authorized official

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1215773478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 MAISON RDG",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193044",
            "telephone_number": "337-655-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 MAISON RDG",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193044",
            "telephone_number": "214-233-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELEAC VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-233-5802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accelerated Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy Keith, LMFT-A, LPC-A
• Madeline Keith, LPC- ASSOCIATE
• Rachel Keith
• Wesley Lane Keith, CRNA
• Jilalu Asmera Kelbe, MD
• Bereket Kelela
• Theodoros Kelesidis, MD
• Keli S. Jones M.D., PA
• Jenny Kell, OTR
• Christine Kellam, R.N11

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.