Active NPI
Keri Anania, P.A.
- Physician Assistant
- Grand Island, NE
National Provider Identifier
1013397199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2068
- Practice address
- 112 W 2ND St Ste 3
Grand Island, NE 68801-5950 - Phone
- (308) 390-2663
- Fax
- (308) 365-1315
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | SC | ||
| Physician Assistant | 363A00000X | 2068 | NE | Primary |
Addresses
Primary practice location
112 W 2ND St Ste 3
Grand Island, NE 68801-5950
Mailing address
112 W 2ND St Ste 3
Grand Island, NE 68801-5950
Phone (308) 390-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2420 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1013397199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W 2ND ST STE 3",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015950",
"telephone_number": "308-390-2663",
"fax_number": "308-365-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 2ND ST STE 3",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015950",
"telephone_number": "308-390-2663",
"fax_number": "308-365-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANIA",
"first_name": "KERI",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.