Active NPI
Laura Keller, ATC
- Athletic Trainer
- Pleasanton, CA
National Provider Identifier
1679920037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5000 Pleasanton Ave
Ste. 200
Pleasanton, CA 94566-7052 - Phone
- (650) 785-4535
- NPI assigned
- May 16, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
5000 Pleasanton Ave
Ste. 200
Pleasanton, CA 94566-7052
Mailing address
7100 San Ramon Rd
Apt 14
Dublin, CA 94568-3201
Phone (360) 430-8014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255A2300X | Other | SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1679920037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 SAN RAMON RD",
"address_2": "APT 14",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683201",
"telephone_number": "360-430-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 PLEASANTON AVE",
"address_2": "STE. 200",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667052",
"telephone_number": "650-785-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "LAURA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER",
"identifier": "2255A2300X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.