Active NPI
Keisha Callahan, RN, FNP-C
- Family Nurse Practitioner
- Uvalda, GA
National Provider Identifier
1053128769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN224495
- Practice address
- 569 Hitchcock Rd
Uvalda, GA 30473-4015 - Phone
- (912) 585-7089
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN224495 | GA | Primary |
Addresses
Primary practice location
569 Hitchcock Rd
Uvalda, GA 30473-4015
Mailing address
569 Hitchcock Rd
Uvalda, GA 30473-4015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F11240387 | Other | AMERICAN ACADEMY OF NURSE PRACTIONERS CERTIFYING BOARD-FAMILY NURSE PRACTIONER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN224495 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1053128769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 HITCHCOCK RD",
"city": "UVALDA",
"state": "GA",
"postal_code": "304734015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 HITCHCOCK RD",
"city": "UVALDA",
"state": "GA",
"postal_code": "304734015",
"telephone_number": "912-585-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KEISHA",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN224495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTIONERS CERTIFYING BOARD-FAMILY NURSE PRACTIONER",
"identifier": "F11240387",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Uvalda, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.