Active NPI
James L Keller, ATC, LAT, MA
- Athletic Trainer
- Golden, CO
National Provider Identifier
1699314708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 119102487
- Practice address
- 251 Violet St Ste 150
Golden, CO 80401-6724 - Phone
- (303) 279-6000
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- 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 | 119102487 | CO | Primary |
Addresses
Primary practice location
251 Violet St Ste 150
Golden, CO 80401-6724
Mailing address
14333 W 48TH PL
Golden, CO 80403-1797
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119102487 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1699314708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14333 W 48TH PL",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 VIOLET ST STE 150",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804016724",
"telephone_number": "303-279-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "ATC, LAT, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "119102487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.