Heidi Jane Keller, M.S, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

24152 Issued in CO

Practice address

412 Red Hill Ave
Suite11
San Anselmo, CA 94960-2450

Phone

(415) 482-8282

Fax

(415) 482-8280

NPI assigned

Sep 29, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lenihan Family Chiropractic Inc.

  • Chiropractor
  • San Anselmo, CA
  • NPI 1306310792
  NPD

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1588948269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RED HILL AVE",
            "address_2": "STE 11",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602469",
            "telephone_number": "415-482-8282",
            "fax_number": "415-482-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RED HILL AVE",
            "address_2": "SUITE11",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602450",
            "telephone_number": "415-482-8282",
            "fax_number": "415-482-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "HEIDI",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.S, D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "24152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.