Jill Keller

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

716 Marsh Rd
Charlotte, NC 28209-2820

Phone

(704) 614-7652

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1871061093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MARSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MARSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092820",
            "telephone_number": "704-614-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara E Keith, AGNP
• Nadirah Nafeesah Keith, DNP, FNP-C, PMHNP-BC
• Spurgeon Keith III, MD
• Sydney Lametta Keith, MSW, LCSWA
• Jennifer Lynn Keller, PHARMD
• Lauren Keller, NP
• Kelly L Kellerman, LCSW
• Kelley and Holt PLLC (Brookdale Pediatric Dentistry)
• Jenna Lynn Kelley Haque, LMFT
• Chandra Kelley, M.S., CF-SLP

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.