Individual provider Active NPI

Diane McKeeff, NP

  • Adult Health Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1003816117
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN00615 Issued in RI
Practice address
55 Cherry LN
Suite 1B
Wakefield, RI 02879-3617
Phone
(401) 789-7137
Fax
(401) 685-0420
NPI assigned
Jul 29, 2005
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN00615 RI Primary

Addresses

Primary practice location

55 Cherry LN
Suite 1B
Wakefield, RI 02879-3617

Mailing address

5 Caswell St
Narragansett, RI 02882-3326
Phone (401) 789-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050202000819 RI Practitioner - Nurse Practitioner 1153372537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14 Woodruff Ave
Narragansett, RI 02882-3457
Phone (401) 789-8543

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN00615RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Adult Health CurrentSince Nov 1, 2023 Accepting new patients
South County Primary Care, Inc. CurrentSince May 23, 2005 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients

Locations

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

14 Woodruff Ave
Narragansett, RI 02882
Phone (401) 661-8088

14 Woodruff Ave
Ste 1
Narragansett, RI 02882
Phone (401) 788-8591

360 Kingstown Rd
Narragansett, RI 02882
Phone (401) 789-1086

120 Centerville Rd
Ste 5
Warwick, RI 02886
Phone (401) 562-1017

268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017

268 Post Rd
Ste 103
Westerly, RI 02891
Phone (401) 604-2500

268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1003816117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CASWELL ST",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823326",
            "telephone_number": "401-789-7137",
            "fax_number": "401-685-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHERRY LN",
            "address_2": "SUITE 1B",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793617",
            "telephone_number": "401-789-7137",
            "fax_number": "401-685-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEFF",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN00615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.