Jacqueline Joyce Keiser

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

1329749 Issued in IN

Practice address

69730 County Rd 7
Nappanee, IN 46550

Phone

(574) 773-5155

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mrs. Jackie Joyce Keiser Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2018.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1417439381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69730 COUNTY ROAD 7",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465509321",
            "telephone_number": "574-910-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69730 COUNTY RD 7",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "46550",
            "telephone_number": "574-773-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "JACQUELINE",
        "middle_name": "JOYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IN",
            "license": "1329749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "KEISER",
            "middle_name": "JOYCE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Hutsell, DC
• Jordan Hutsell, DC
• Mark D. Hutsell, D.C.
• Jacquelin Jarvis, CCC-SLP
• Sherry Smith Joines, MA CCC-SLP
• Katelyn M King, OTR
• Linda Jean Letherman
• Kimberly A Linton, MSPT
• Lisa Ann Marrero, FNPC
• Martin'S Supermarkets of Nappanee LLC

• All providers in Nappanee, IN
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.