Lori Sue Keller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

227099 Issued in AZ

Practice address

15255 N 40TH St Ste 135
Phoenix, AZ 85032-4682

Phone

(480) 417-5289

NPI assigned

Jul 15, 2019

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1700438272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E TREMAINE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344879",
            "telephone_number": "480-849-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST STE 135",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324682",
            "telephone_number": "480-417-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Tremaine Ave",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852344879",
            "country_code": "US",
            "telephone_number": "480-849-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15333 N Pima Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602783",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LORI",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Keller, DNP, FNP-BC, NP-C
• Jonathan Richard Keller, CADAC
• Kathryn Keller
• Linda Keller
• Lisa Ann Keller, P.N.P.
• Martin E Keller, EDD ABPP
• Matthew Keller, O.D.
• Monireh Mahboubi Keller, M.D.
• Shannon Marie Keller, MS, RD
• Virginia M. Keller, M.C., LPC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.