Donna Marie Keller Ossipov, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP033661 Issued in AZ

Practice address

7058 W Pebble Valley Dr
Tucson, AZ 85757-8745

Phone

(520) 271-4685

Fax

(520) 297-1956

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Donna Marie Keller Ossipov Professional name

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1821379397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7058 W PEBBLE VALLEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857578745",
            "telephone_number": "520-271-4685",
            "fax_number": "520-297-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7058 W PEBBLE VALLEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857578745",
            "telephone_number": "520-271-4685",
            "fax_number": "520-297-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER OSSIPOV",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP033661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "KELLER OSSIPOV",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Kelbert
• Loren Rodger Keldahl, MD
• James Patrick Keleher, DC
• Michael A Kelleher, MD
• Renee Kellems
• Aimee Rebecca Keller
• Allison Keller
• Cary Keller, M.D.
• Dianne Keller, M.D.
• Ingrid Marie Keller

• Licensed Practical Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.