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Tristan Glenn Keller, LISW

Clinical Social Worker in Gallup, NM · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053346171

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Registry record

Entity type Individual (Type 1)
Name Tristan Glenn Keller
Credential LISW
Sex Male
Practice address 2025 E Aztec Ave, Gallup, NM, 87301
Phone (505) 863-3828
Fax (505) 863-6612
Enumeration date Jul 11, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License I-05565 (NM) Primary

Other identifiers

Identifier Type State Issuer
50526 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tristan Keller practice?
The practice location on file with NPPES is in Gallup, NM. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Tristan Keller?
The National Provider Identifier (NPI) for Tristan Keller is 1053346171, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.