Nicholas Aaron Keller, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1 John Marshall Dr
Huntington, WV 25755-2473

Phone

(304) 696-3170

NPI assigned

Oct 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1891261764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E KIBBY ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041639",
            "telephone_number": "419-235-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552473",
            "telephone_number": "304-696-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Quaker Way",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772473",
            "country_code": "US",
            "telephone_number": "419-235-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "NICHOLAS",
        "middle_name": "AARON",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Keith
• Makaylah Keith
• Andrea Kellar, MD
• Matthew Craig Kellar, PSY.D.
• David Kasey Keller, R.PH.
• Jaela Kelley
• Joshua Kelley
• Katlyn Kelley
• Makayla Kelley
• Cassandra Kellogg

• Athletic Trainer in Huntington, WV
• Providers in Huntington, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.