Individual provider Active NPI

Patricia F McKeon, PA

  • Physician Assistant
  • GT Barrington, MA
National Provider Identifier
1013099480
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
140 Issued in MA
Practice address
780 Main St
Ste 1
GT Barrington, MA 01230-2180
Phone
(413) 528-2418
Fax
(413) 528-2907
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
140MAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: patricia.mckeon@emma.directbygreenway.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 140 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

780 Main St
Ste 1
GT Barrington, MA 01230-2180

Mailing address

780 Main St
Ste 1
GT Barrington, MA 01230-2180
Phone (413) 528-2418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2008.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1013099480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "STE 1",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012302180",
            "telephone_number": "413-528-2418",
            "fax_number": "413-528-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "STE 1",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012302180",
            "telephone_number": "413-528-2418",
            "fax_number": "413-528-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in GT Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.