Patrice Rolland Keller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1398 Issued in LA

Practice address

733 Dante Street
Sara Mayo Healthcare Center
New Orleans, LA 70118

Phone

(504) 866-8819

Fax

(504) 866-8836

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Sara Mayo Healthcare Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1760436703
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255385100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DANTE STREET",
            "address_2": "SARA MAYO HEALTHCARE CENTER",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-866-8819",
            "fax_number": "504-866-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DANTE STREET",
            "address_2": "SARA MAYO HEALTHCARE CENTER",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-866-8819",
            "fax_number": "504-866-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "PATRICE",
        "middle_name": "ROLLAND",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142433",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00176226",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Stern Keller, FNP
• Dynasty Victoria Keller
• Jamara Keller
• Jawina T Keller
• Monique Louise Bush Keller, LPC, NCC
• Richard A Keller, MD
• William Joseph Keller, ATC, LAT
• Marshall Joseph Kellerman
• Anna Kelley, PSY.D.
• Deane M Kelley, PH.D.

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.