Individual provider Active NPI

Armand L McKeller

  • Family Nurse Practitioner
  • Richmond, CA
National Provider Identifier
1467978940
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006345 Issued in CA
Practice address
3220 Blume Dr Ste 116
Richmond, CA 94806-1903
Phone
(510) 609-6875
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006345 CA Primary

Addresses

Primary practice location

3220 Blume Dr Ste 116
Richmond, CA 94806-1903

Mailing address

3220 Blume Dr Ste 116
Richmond, CA 94806-1903
Phone (510) 609-6875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250723002552 CA Practitioner - Nurse Practitioner 2264714393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95006345CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Communities CurrentSince Jun 17, 2014 Accepting new patients
Inspiring Communities CurrentSince Jul 1, 2022 Accepting new patients

Locations

3220 Blume Dr
Ste 116
San Pablo, CA 94806
Phone (510) 375-7001

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1467978940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BLUME DR STE 116",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061903",
            "telephone_number": "510-609-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BLUME DR STE 116",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061903",
            "telephone_number": "510-609-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELLER",
        "first_name": "ARMAND",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.