Organization Active NPI

Keela Yount, Inc.

  • Prosthetic/Orthotic Supplier
  • East Lansing, MI
National Provider Identifier
1003078452
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KEELA YOUNT, INC.
Practice address
4500 S Hagadorn Rd
East Lansing, MI 48823-6813
Phone
(517) 351-2688
Fax
(517) 351-4770
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Keela Yount, CERTIFIED PEDORTHISTNPI 1679698971
Title
Owner
Phone
(517) 351-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4500 S Hagadorn Rd
East Lansing, MI 48823-6813

Mailing address

4500 S Hagadorn Rd
East Lansing, MI 48823-6813
Phone (517) 351-2688

Other identifiers 1

IdentifierTypeStateIssuer
540C313020OtherMIBLUE CROSS/BLUE SHIELD

Other names 1

  • Mid-Michigan Pedorthic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4500 S Hagadorn Rd
East Lansing, MI 48823
Phone (517) 324-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1003078452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236813",
            "telephone_number": "517-351-2688",
            "fax_number": "517-351-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236813",
            "telephone_number": "517-351-2688",
            "fax_number": "517-351-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELA YOUNT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "KEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-351-2688",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "540C313020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Michigan Pedorthic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.