Samuel Keys

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1903 N Jackson St
Jerome, ID 83338-1551

Phone

(208) 320-2983

NPI assigned

Feb 5, 2026

Last updated

Feb 5, 2026By the provider in NPPES

Sex

Male

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

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1215888102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 N JACKSON ST",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381551",
            "telephone_number": "208-320-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 N JACKSON ST",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381551",
            "telephone_number": "208-320-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Reed Jones, DO
• K2Red LLC (Jerome Drug)
• Mark Keele, DO
• Michael J Keller, DO
• Joshua William Kern, M.D.
• Brianna Lynn Kober, MS, BCBA
• Kendra L Krebs, DO
• Richard Emery Lally, M.D.
• Sally Jo Leyse, LCPC
• Veronica Loaeza Lopez

• Behavior Technician in Jerome, ID
• Providers in Jerome, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.