Individual provider Active NPI

Laura Keyes

  • Nurse Practitioner
  • Commerce City, CO
National Provider Identifier
1033538889
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0990594 Issued in CO
Practice address
13611 E 104TH Ave Unit 500
Commerce City, CO 80022-8434
Phone
(720) 456-6154
NPI assigned
Apr 9, 2014
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0990594 CO Primary
Registered Nurse 163W00000X 0191041 CO

Addresses

Primary practice location

13611 E 104TH Ave Unit 500
Commerce City, CO 80022-8434

Mailing address

13611 E 104TH Ave Unit 500
Commerce City, CO 80022-8434

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180215002317 CO Practitioner - Nurse Practitioner 0446510275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0191041COMDRegistered Nurse
0990594COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keene Clinic CurrentSince Feb 8, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17557/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1033538889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 E 104TH AVE UNIT 500",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 E 104TH AVE UNIT 500",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228434",
            "telephone_number": "720-456-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0990594",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0191041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.