Meghan Kealey

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305090-1 Issued in NY

Practice address

88 Crescent CT
Wading River, NY 11792-3002

Phone

(631) 672-4366

NPI assigned

Dec 30, 2012

Last updated

Dec 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356825600000",
    "number": "1003152687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CRESCENT CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117923002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CRESCENT CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117923002",
            "telephone_number": "631-672-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALEY",
        "first_name": "MEGHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2012-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Johnson
• William Dolph Johnson, P.A.
• Joint Effort Therapeutics Physical Therapy, PC
• Donald Harold Kazenoff, MSSW LCSW
• Geraldine Kazenoff, LCSW
• Loren Kenney, BSN, RN
• Carmella Kimberly Kistner
• Susan Knechtel, MA CCC-SLP
• Lauryn M Koke, P.T.
• Aaron William Krebo, RN

• Licensed Practical Nurse in Wading River, NY
• Providers in Wading River, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.