Active NPI
Erin Keller, FNP
- Family Nurse Practitioner
- Middleton, ID
National Provider Identifier
1669556908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-764A
- Practice address
- 201 S. 1St Ave. E
Middleton, ID 83644 - Phone
- (208) 585-6311
- Fax
- (208) 585-6221
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-764A | ID | Primary |
Addresses
Primary practice location
201 S. 1St Ave. E
Middleton, ID 83644
Mailing address
2635 S. Benecia Way
Nampa, ID 83686
Phone (208) 442-3025
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 |
|---|---|---|---|
| NP-764A | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669556908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 S. BENECIA WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "83686",
"telephone_number": "208-442-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S. 1ST AVE. E",
"city": "MIDDLETON",
"state": "ID",
"postal_code": "83644",
"telephone_number": "208-585-6311",
"fax_number": "208-585-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-764A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, ID
- Icare Supported Living, Inc.
- Jensen Chiropractic and Wellness PLLC (Jensen Chiropractic and Wellness)
- Kenneth Dean Jensen, D.C.
- Scott Richard Jordan, DMD
- Meghann Elaine Kalliokoski, DNP
- Kristine P Kingery, PA-C
- Christopher J Kunz, LCSW
- Bill Thomas Laitinen, MD
- Michelle Roxann Lauber
- Lee Physical Therapy, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.