Jamie Jo Keller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

134939 Issued in WI

Practice address

4303 State Highway 42
Sturgeon Bay, WI 54235-9620

Phone

(920) 559-7570

NPI assigned

Feb 9, 2011

Last updated

Feb 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1669778502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 STATE HIGHWAY 42",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542359620",
            "telephone_number": "920-559-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 STATE HIGHWAY 42",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542359620",
            "telephone_number": "920-559-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JAMIE",
        "middle_name": "JO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "134939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kahler, BSW
• Amanda Marie Kassner, PA-C
• Kimberly Ann Kasten, APNP
• Kim Bigari Kavanagh I, OTR
• Catherine Helen Keller, RDN
• Sarah June Keller, M.D.
• Cathleen Lee Keltgen, D.C.
• Jason Kenwood Keltgen, D.C.
• Dillyn King
• Quinn James Kirchner, M.D.

• Licensed Practical Nurse in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.