Organization Active NPI

Keady Family Practice, LLC

  • Family Health Clinical Nurse Specialist
  • Claremont, NH
National Provider Identifier
1033466784
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
052532-23 Issued in NH
Legal business name
KEADY FAMILY PRACTICE, LLC
Practice address
214 Washington St
Claremont, NH 03743-5512
Phone
(603) 863-7777
Fax
(603) 769-3406
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mr. James Patrick Keady Jr.
Title
Practice Manager
Phone
(603) 826-3434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 052532-23 NH Primary

Addresses

Primary practice location

214 Washington St
Claremont, NH 03743-5512

Mailing address

214 Washington St
Claremont, NH 03743-5512
Phone (603) 863-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000366 NH Part B Supplier - Clinic/Group Practice 8921251828 Receives reassigned benefits from 13 practitioners
Practice locations: Claremont, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2119955Keady Family Practice, LLC214 Washington St, Claremont, NH 03743Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

52 W Pleasant St
Claremont, NH 03743
Phone (603) 448-0126

132 Pleasant St
Claremont, NH 03743
Phone (603) 863-7777

214 Washington St
Claremont, NH 03743
Phone (603) 863-7777

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1033466784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WASHINGTON ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435512",
            "telephone_number": "603-863-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WASHINGTON ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435512",
            "telephone_number": "603-863-7777",
            "fax_number": "603-769-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEADY FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "KEADY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-826-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NH",
            "license": "052532-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.