Heather Keith, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Taft, CA
NPI 1033616008 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1033616008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 95008860 (CA)
- Practice address
- 100 E North St
Taft, CA 93268-3602 - Phone
- (661) 765-1935
- Fax
- (661) 765-1928
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Side Health Care District
Southern California Permanente Medical Group
Practice addresses (Care Compare)
100 E N St
Taft, CA 93268-3606
Phone (661) 765-1935
3501 Stockdale Hwy
Bakersfield, CA 93309-2150
Phone (661) 328-9831
3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.47 of 100
- Quality
- 85.24
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180717003879 | CA | Practitioner - Nurse Practitioner | 8224385596 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008860 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| West Side Health Care District | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Grand Avenue Emergency Physicians Medical Group Inc | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Palomar Emergency Physicians, Inc | Current |
Accepting new patients |
Locations
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
100 E North St
Taft, CA 93268
Phone (661) 765-1935
119 Adkisson Way
Taft, CA 93268
Phone (661) 765-7234
Interoperability endpoints
- heather.keith.1@14270.direct.athenahealth.com
- https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95008860 | CA | Yes |
Addresses
Primary practice location
100 E North St
Taft, CA 93268-3602
Mailing address
100 E North St
Taft, CA 93268-3602
Phone (661) 765-1935
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Taft, CA
- Shawn Holloway
- Victor L Hudson
- J. Sterling Bryan, D.D.S., P.C.
- Ania Jafaryan
- Markie Caitlin Johnson
- Jeanette May Kennedy-Cecil
- Claire Kim
- Alexandra Paige Lainez
- Desiree Jayne Domingo Leal
- Lifecare Homes Inc
All providers in Taft, CA · Acute Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.