Active NPI
Sally D Keller, ARNP
- Women's Health Nurse Practitioner
- Starke, FL
National Provider Identifier
1659544658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- ARNP 511742
- Practice address
- 1801 N Temple Ave
Starke, FL 32091-1960 - Phone
- (904) 964-7732
- Fax
- (904) 964-3024
- NPI assigned
- Apr 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP 511742 | FL | Primary |
Addresses
Primary practice location
1801 N Temple Ave
Starke, FL 32091-1960
Mailing address
1801 N Temple Ave
Starke, FL 32091-1960
Phone (904) 964-7732
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 511742 | FL | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1659544658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N TEMPLE AVE",
"city": "STARKE",
"state": "FL",
"postal_code": "320911960",
"telephone_number": "904-964-7732",
"fax_number": "904-964-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TEMPLE AVE",
"city": "STARKE",
"state": "FL",
"postal_code": "320911960",
"telephone_number": "904-964-7732",
"fax_number": "904-964-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "SALLY",
"middle_name": "D",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP 511742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starke, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.