Danielle Dominique Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11145 Issued in AZ

Practice address

1330 N Rim Dr Ste a
Flagstaff, AZ 86001-3138

Phone

(661) 843-6420

NPI assigned

Feb 12, 2020

Last updated

Dec 10, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in HI, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkeller@lalasercenter.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855

  AZ

  Medicare reassignment Care Compare group NPD
• All Access Ortho LLC

  • Urgent Care Clinic/Center
  • Honolulu, HI
  • NPI 1346682549
  Medicare reassignment
• Orthopedic Associates of Hawaii, LLP

  • Orthopaedic Surgery Physician
  • Honolulu, HI
  • NPI 1760410955
  NPD
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Lake Havasu City, AZ
  • NPI 1245864016
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1366075814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N RIM DR STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N RIM DR STE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013138",
            "telephone_number": "661-843-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DANIELLE",
        "middle_name": "DOMINIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Kearney, N.D.
• David W Keckich, M.D.
• Elissa M Keel, NP
• Jenny M Keim, PHYSICAL THERAPIST
• Angela Lynn Keith, PHD, LPC
• Sandra Taylor Kellett, PA-C
• Judith Amanda Kelley, MD
• Ralph Zane Kelley, DO
• Star Kelley, LCSW
• Kelly Reber DPM, PC (Northern Arizona Podiatry Group)

• Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.