Active NPI
Natividad Keim
- Counselor
- Rock Island, IL
National Provider Identifier
1043064934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4703 44TH St
Rock Island, IL 61201-7189 - Phone
- (309) 786-0770
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4703 44TH St
Rock Island, IL 61201-7189
Mailing address
2326 31St Street a
Moline, IL 61265-4307
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Dop | Past | Accepting new patients | |
| The Center for Youth and Family Solutions | 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.
-
- Community/Behavioral Health Agency
- Rock Island, IL
- NPI 1073699914
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, IL
- NPI 1699040451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1043064934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 31ST STREET A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612654307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4703 44TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612017189",
"telephone_number": "309-786-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "NATIVIDAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.