Keife Earley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

223822 Issued in LA

Practice address

104 North Park Drive
Monroe, LA 71203-7158

Phone

(318) 600-3456

Fax

(318) 374-6828

NPI assigned

Sep 2, 2021

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Earley Healthcare

  • Clinic/Center
  • West Monroe, LA
  • NPI 1174291132
  Authorized official Same address or phone

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1043988108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NORTH PARK DRIVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037158",
            "telephone_number": "318-600-3456",
            "fax_number": "318-600-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTH PARK DRIVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037158",
            "telephone_number": "318-600-3456",
            "fax_number": "318-374-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Washington St Ste 300158",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463834768",
            "country_code": "US",
            "telephone_number": "408-703-7926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Tejon St Ofc 16",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809031101",
            "country_code": "US",
            "telephone_number": "318-600-3456",
            "fax_number": "318-374-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 California Ave SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361684",
            "country_code": "US",
            "telephone_number": "408-703-7926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Locust St # 102",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094104",
            "country_code": "US",
            "telephone_number": "318-600-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "KEIFE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012944A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0002269-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61287233",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "223822",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G168318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E.a. Conway Medical Center (E.A. Conway Medical Center CRNAs)
• E.a. Conway Medical Center (E.A. Conway Clinics)
• E.a.Conway Medical Staff Group
• Eagles Wings Recovery
• Jill Earles
• Lacresha Clay Earley
• Margot Bell Eason, M.D.
• Easter Seals Louisiana
• Easter Seals Louisiana Inc.
• Easter Seals Louisiana Inc.

• Psychiatric/Mental Health Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.