Katelyn Keenan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

372482 Issued in OH

Practice address

735 N Water St
Uhrichsville, OH 44683-1455

Phone

(740) 922-7587

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Uhrichsville, OH
  • NPI 1902915259
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1003587015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 TOWNSHIP ROAD 220",
            "city": "BLOOMINGDALE",
            "state": "OH",
            "postal_code": "439107844",
            "telephone_number": "740-765-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N WATER ST",
            "city": "UHRICHSVILLE",
            "state": "OH",
            "postal_code": "446831455",
            "telephone_number": "740-922-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "OH",
            "postal_code": "446151348",
            "country_code": "US",
            "telephone_number": "330-627-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "372482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Todd Harrison, RPH
• Gabrielle Heck, PHARMD, RPH
• Ayla Marie Holmes
• Constance Hudack
• Christina E Irwin
• Rita Carol Klepatzki Fisher
• Lori Ann Kosegi
• Sara Longgood
• Marcia J Lukens, LSW
• Jo E Mako

• Registered Nurse in Uhrichsville, OH
• Providers in Uhrichsville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.