1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

AMANDA POWELL KELLER
NPI 1104550227
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since July 14, 2022
1950 S SUNWEST LANE SUITE 200, SAN BERNARDINO, CA 92418(909) 252-4017 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2024, Jul 14, 2022 (2 updates tracked since 2022).

About Amanda Powell Keller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA POWELL KELLER (NPI 1104550227) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1104550227
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA POWELL KELLER
Location Address1950 S SUNWEST LANE SUITE 200San Bernardino, CA 92418-1970
Mailing Address1950 S Sunwest Lane Suite 200San Bernardino, CA 92418-1970 · (909) 252-4017
Phone(909) 252-4017
Sole ProprietorYes
Enumeration DateJuly 14, 2022
Last NPPES UpdateMay 11, 20242 updates tracked since enumeration
NPPES CertifiedMay 11, 2024
✔ NPI 1104550227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1950 S SUNWEST LANE SUITE 200, San Bernardino, CA 92418
Open in Google Maps ↗

Other Identifiers 1

Medicaid1396085718UT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Keller's NPI number?

The NPI number for Amanda Keller is 1104550227. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Amanda Keller located?

Amanda Keller practices at 1950 S Sunwest Lane Suite 200, San Bernardino, CA 92418. The listed phone number is (909) 252-4017.

What is Amanda Keller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Keller was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.