Individual provider Active NPI

Meagan Emily Keaton, NP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1003016783
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167433 Issued in VA
Practice address
5833 Harbour View Blvd Ste B
Suffolk, VA 23435-3760
Phone
(757) 337-4018
Fax
(577) 337-4019
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024167433 VA Primary

Addresses

Primary practice location

5833 Harbour View Blvd Ste B
Suffolk, VA 23435-3760

Mailing address

916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone (360) 336-5658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000709 VA Practitioner - Nurse Practitioner 4284729203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dowd DO PCGroup PAC ID 5799936522, 7 clinicians

Practice addresses (Care Compare)

5833 Harbour View Blvd
Suite B
Suffolk, VA 23435-3760
Phone (757) 337-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167433VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dowd DO PC CurrentSince Mar 2, 2022 Accepting new patients
Plastic Surgery Specialist of Virginia, Inc. PastSince Mar 2, 2022 Accepting new patients

Locations

1024 Centerbrooke Ln
Ste F
Suffolk, VA 23434
Phone (347) 654-5690

5833 Harbour View Blvd
Ste B
Suffolk, VA 23435
Phone (757) 337-4018

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: meagankeatonnp@cdd-va.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1003016783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734324",
            "telephone_number": "360-336-5658",
            "fax_number": "360-336-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 HARBOUR VIEW BLVD STE B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353760",
            "telephone_number": "757-337-4018",
            "fax_number": "577-337-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "MEAGAN",
        "middle_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.