William Joseph Keller, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATH.200059 Issued in LA

Practice address

202 McAlister Ext
New Orleans, LA 70118-5671

Phone

(504) 864-2125

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1396944815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 DAVIS DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700706002",
            "telephone_number": "504-913-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MCALISTER EXT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185671",
            "telephone_number": "504-864-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Clearview Pkwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701211011",
            "country_code": "US",
            "telephone_number": "504-736-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA",
            "identifier": "ATH.200059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamara Keller
• Jawina T Keller
• Monique Louise Bush Keller, LPC, NCC
• Patrice Rolland Keller
• Richard A Keller, MD
• Marshall Joseph Kellerman
• Anna Kelley, PSY.D.
• Deane M Kelley, PH.D.
• Eusebia Kelley
• Gregory Vincent Kelley, RN, LPC

• Athletic Trainer in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.