Active NPI
Sharon Keller
- Registered Nurse
- Medford, OR
National Provider Identifier
1356799357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200141586RN
- Practice address
- 3617 S Pacific Hwy
Medford, OR 97501-8957 - Phone
- (541) 535-6239
- Fax
- (541) 842-2212
- NPI assigned
- May 31, 2016
- Last updated
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200141586RN | OR | Primary |
Addresses
Primary practice location
3617 S Pacific Hwy
Medford, OR 97501-8957
Mailing address
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200141586RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1356799357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 S PACIFIC HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975018957",
"telephone_number": "541-535-6239",
"fax_number": "541-842-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 S PACIFIC HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975018957",
"telephone_number": "541-535-6239",
"fax_number": "541-842-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "SHARON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200141586RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.