Active NPI
Marilou Keller, CNS
- Clinical Nurse Specialist
- Hemet, CA
National Provider Identifier
1518079979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- CNS2201
- Practice address
- 301 N San Jacinto St
Hemet, CA 92543-3119 - Phone
- (951) 766-6460
- Fax
- (951) 766-6459
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 10, 2008
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | CNS2201 | CA | Primary |
Addresses
Primary practice location
301 N San Jacinto St
Hemet, CA 92543-3119
Mailing address
37197 Bunchberry LN
Murrieta, CA 92562-3259
Phone (951) 766-6460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639109457 | Other | CA | NPI |
| 05D1062719 | Other | CA | CLIA NUMBER |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS2201 | CA | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology-Oncology Consultants | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Hemet, CA
- NPI 1639109457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1518079979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37197 BUNCHBERRY LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925623259",
"telephone_number": "951-766-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N SAN JACINTO ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925433119",
"telephone_number": "951-766-6460",
"fax_number": "951-766-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MARILOU",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "CNS2201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1639109457",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "05D1062719",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.