Latasha Nicole Keller, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27024 Issued in SC

Practice address

148 Willow Bay Dr
Orangeburg, SC 29118-2842

Phone

(803) 290-6944

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1235862145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WILLOW BAY DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182842",
            "telephone_number": "803-290-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILLOW BAY DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182842",
            "telephone_number": "803-290-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LATASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "249610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey J. Keels, MHP
• Michael Keels
• Jonathan W Keith, MSW
• Juenarrl Keith
• Cassandra Keller, MASTERS IN SCIENCE I
• Elaine Hamilton Kelly
• Brian W Kendall, MD
• Dorothy F. Kendall, M.D.
• Dia Kennerly, MA
• Ashley E Keys

• Family Nurse Practitioner in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.