Active NPI
Lida Rose Keller, RN, BSN
- Registered Nurse
- Overland Park, KS
National Provider Identifier
1831736099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2018011829
- Practice address
- 6907 Shawnee Mission Parkway
Suite 207
Overland Park, KS 66202 - Phone
- (888) 913-1910
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2018011829 | MO | Primary |
Addresses
Primary practice location
6907 Shawnee Mission Parkway
Suite 207
Overland Park, KS 66202
Mailing address
6907 Shawnee Mission Parkway
Suite 207
Overland Park, KS 66202
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018011829 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1831736099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 SHAWNEE MISSION PARKWAY",
"address_2": "SUITE 207",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6907 SHAWNEE MISSION PARKWAY",
"address_2": "SUITE 207",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66202",
"telephone_number": "888-913-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "LIDA",
"middle_name": "ROSE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018011829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.