Brenda S Keller, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP06892 Issued in OH

Practice address

582 N Cable Rd
Lima, OH 45805-2133

Phone

(419) 996-2500

Fax

(419) 996-2509

NPI assigned

Feb 2, 2006

Last updated

Jul 7, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gastroenterology of West Central Ohio, Inc.

  • Gastroenterology Physician
  • Lima, OH
  • NPI 1134292584
  Medicare reassignment NPD
• Specialty Physicians of Blanchard Valley LLC

  • Cardiovascular Disease Physician
  • Findlay, OH
  • NPI 1689835415
  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1417929662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-981-5123",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-996-2500",
            "fax_number": "419-996-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP06892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Keener, CRNA
• Suzzette Keim
• Susanne M Keister, LPCC
• William Keith I, LCDC III
• Curtis E Kellam
• Jessica Keller, PT
• Karla Keller, PT
• Luke Christopher Keller, PHARM.D.
• Jenna Kellogg
• Cary Christine Kellum

• Family Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.