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LISA KELLER
NPI 1174016646
Nurse Practitioner - Family in Forest Hills, NY

Active since June 10, 2018
6838 YELLOWSTONE BLVD APT B43, FOREST HILLS, NY 11375(516) 375-2942 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lisa Keller NPPES

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

LISA KELLER (NPI 1174016646) is an individual family provider in Forest Hills, New York, licensed in New York (F351233) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1174016646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA KELLER
Location Address6838 YELLOWSTONE BLVD APT B43Forest Hills, NY 11375-3426
Mailing Address576 Longacre AveWoodmere, NY 11598-2308 · (516) 375-2942
Phone(516) 375-2942
Sole ProprietorNo
Enumeration DateJune 10, 2018
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1174016646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F351233
Also ListedRegistered NurseTaxonomy 163W00000X · License 747652 (NY)
6838 YELLOWSTONE BLVD APT B43, Forest Hills, NY 11375
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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 Lisa Keller's NPI number?

The NPI number for Lisa Keller is 1174016646. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Lisa Keller located?

Lisa Keller practices at 6838 Yellowstone Blvd Apt B43, Forest Hills, NY 11375. The listed phone number is (516) 375-2942.

What is Lisa Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Keller was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.