Justin Daniel Keller, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN756924 Issued in PA

Practice address

370 E Broad St
Malvern, PA 19355-2506

Phone

(610) 241-2444

NPI assigned

Jun 2, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1720727175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E BROAD ST",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552506",
            "telephone_number": "610-241-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E BROAD ST",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552506",
            "telephone_number": "610-241-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "226652",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR24419700",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN756924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Kauffman
• Adam B Kaufman, MD
• Douglas Kawka, PSY.D., BCB
• Alexandria Kazandjian
• Alan S Keller, MD
• Rosemary B. Keller, NP-C
• Michael Eugene Kelly, RPH
• Judith A Kenney, LPC
• Krystal Estelle Kierod, PH.D.
• Meghan Kincaid, M.S. CCC-SLP

• Registered Nurse in Malvern, PA
• Providers in Malvern, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.