Keota Family Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KEOTA FAMILY PRACTICE

Practice address

302 E Broadway Ave
Keota, IA 52248-9402

Phone

(319) 383-7044

Fax

(833) 740-3624

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Jackie K Morgan, ARNPNPI 1831789882

Title

Owner

Phone

(319) 202-3843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

• Jackie K Morgan, ARNP

  • Family Nurse Practitioner
  • Keota, IA
  • NPI 1831789882

  Family, IA

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1003628751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522480138",
            "telephone_number": "319-383-7044",
            "fax_number": "833-740-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E BROADWAY AVE",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522489402",
            "telephone_number": "319-383-7044",
            "fax_number": "833-740-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOTA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-202-3843",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth Bombei, COTA/L
• Eagle Ridge Nursing and Rehabilitation LLC
• Harvest Acres Nursing and Rehab LLC
• Keota Community School District
• Keota Health Care Center LLC
• Breena Luers, PT, MHH, DPT
• Mariah Cheyenne Lyle, DC
• Maplewood Manor Inc
• Jackie K Morgan, ARNP

• All providers in Keota, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.