Keshia Brooke Hackworth, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024187385 Issued in VA

Practice address

8243 Riverside Dr
Oakwood, VA 24631-8973

Phone

(276) 498-3446

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinch Professional Physician Services LLCGroup PAC ID 9436259223, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• KY PPO
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/buchgen-7056bd27
• Direct secure messaging: keshia.hackworth.1@19847.direct.athenahealth.com

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.

• Clinch Professional Physician Services LLC

  • Surgery Physician
  • Richlands, VA
  • NPI 1609994284
  Medicare reassignment Care Compare group NPD
• Buchanan General Hospital Inc

  • Internal Medicine Physician
  • Grundy, VA
  • NPI 1508920273
  Medicare reassignment NPD
• Buchanan General Hospital Inc

  • Clinical Medical Laboratory
  • Grundy, VA
  • NPI 1619901444
  NPD
• Buchanan General Hospital Inc

  dba Keen Mountain Clinic

  • Rural Health Clinic/Center
  • Oakwood, VA
  • NPI 1750974002
  NPD
• Clinch Professional Physician Services LLC

  dba Clinch Valley Family Care

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1669157285
  NPD
• Buchanan General Hospital Inc

  dba Commonwealth Family Clinic

  • Rural Health Clinic/Center
  • Grundy, VA
  • NPI 1740873009
  NPD (past)
• Buchanan Health Care LLC

  • Specialist
  • Grundy, VA
  • NPI 1609808484
  NPD (past)
• Clinch Valley Urology, LLC

  • Urology Physician
  • Richlands, VA
  • NPI 1114955168
  NPD (past)

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

• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013694959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 KENNEDY DR",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246373678",
            "telephone_number": "276-210-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 RIVERSIDE DR",
            "city": "OAKWOOD",
            "state": "VA",
            "postal_code": "246318973",
            "telephone_number": "276-498-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKWORTH",
        "first_name": "KESHIA",
        "middle_name": "BROOKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buchanan General Hospital Inc (Keen Mountain Clinic)
• Danny Cline, PA-C
• Brooks Ryan Crumpton, D.D.S., P.C.
• Alexander Godwin
• Grayson Dean Griffith, PT, DPT
• Robert Ralph Hagy Sr., D.D.S.
• Jennifer Ingle, CSAC, CAADC
• Ramesh P Kabaria, MD
• Merit Medical Rural Health Clinic-Oakwood, Inc.
• Irene Sekyi Ntiako, PHARMD

• Family Nurse Practitioner in Oakwood, VA
• Providers in Oakwood, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.