Active NPI
Laura Keller, NP
- Nurse Practitioner
- Weaverville, CA
National Provider Identifier
1376563007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8729
- Practice address
- 560 Main Street
Weaverville, CA 96093 - Phone
- (530) 623-3735
- Fax
- (530) 623-1196
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8729 | CA | Primary |
Addresses
Primary practice location
560 Main Street
Weaverville, CA 96093
Mailing address
PO Box 2460
560 Main Street
Weaverville, CA 96093-2460
Phone (530) 623-3735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN476117 | Medicaid | CA |
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald E. Krouse, M.D., Inc | Past | Accepting new patients | |
| Donald E. Krouse, M.D. Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hayfork, CA
- NPI 1871522938
-
- Family Medicine Physician
- Weaverville, CA
- NPI 1427240563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1376563007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2460",
"address_2": "560 MAIN STREET",
"city": "WEAVERVILLE",
"state": "CA",
"postal_code": "960932460",
"telephone_number": "530-623-3735",
"fax_number": "530-623-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 MAIN STREET",
"city": "WEAVERVILLE",
"state": "CA",
"postal_code": "96093",
"telephone_number": "530-623-3735",
"fax_number": "530-623-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "LAURA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "8729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN476117",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weaverville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.