Organization Active NPI

Leslie Keeler

Doing business as Celinesfarm

  • Case Manager/Care Coordinator
  • Casper, WY
National Provider Identifier
1649393943
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LESLIE KEELER
Doing business as
Celinesfarm
Practice address
630 10 Mile Road
Casper, WY 82604
Phone
(307) 262-8084
Fax
(307) 472-1919
NPI assigned
Apr 9, 2007
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Miss Leslie A Keeler, OWNER
Title
President
Phone
(307) 472-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X WY Primary

Addresses

Primary practice location

630 10 Mile Road
Casper, WY 82604

Mailing address

630 10 Mile Road
Casper, WY 82604
Phone (307) 262-8084

Other identifiers 1

IdentifierTypeStateIssuer
119001600MedicaidWY

Other names 1

  • Celinesfarm Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1649393943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 10 MILE ROAD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-262-8084",
            "fax_number": "307-472-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 10 MILE ROAD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-262-8084",
            "fax_number": "307-472-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE KEELER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-472-1919",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119001600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celinesfarm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.