Individual provider Active NPI

Kara Greenleat Keeton, M.D.

  • Obstetrics & Gynecology Physician
  • South Windsor, CT
National Provider Identifier
1023050390
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
044552 Issued in CT
Practice address
1050 Sullivan Ave
Suite A4
South Windsor, CT 06074-2000
Phone
(860) 648-2748
Fax
(860) 648-2751
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 056113 GA
Obstetrics & Gynecology Physician 207V00000X 044552 CT Primary

Addresses

Primary practice location

1050 Sullivan Ave
Suite A4
South Windsor, CT 06074-2000

Mailing address

1050 Sullivan Ave
Suite A4
South Windsor, CT 06074-2000
Phone (860) 648-2748

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044552CTMDObstetrics & Gynecology Physician
056113GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Raphael Faculty Physicians Obstetrics & Gynecology Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1023050390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE",
            "address_2": "SUITE A4",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-648-2748",
            "fax_number": "860-648-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE",
            "address_2": "SUITE A4",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-648-2748",
            "fax_number": "860-648-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "KARA",
        "middle_name": "GREENLEAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "056113",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "044552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.