Organization Active NPI

Natalie a Keegan Arnp PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1053509315
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1564272 Issued in FL
Legal business name
NATALIE A KEEGAN ARNP PA
Practice address
12021 SW Elsinore Dr
Port St Lucie, FL 34987-2191
Phone
(772) 345-3056
NPI assigned
Oct 11, 2007
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Natalie Keegan, ARNPNPI 1669413225
Title
President
Phone
(772) 345-3056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1564272 FL Primary

Addresses

Primary practice location

12021 SW Elsinore Dr
Port St Lucie, FL 34987-2191

Mailing address

12021 SW Elsinore Dr
Port St Lucie, FL 34987-2191
Phone (772) 345-3056

National Provider Directory

National Provider Directory

Locations

2240 W Woolbright Rd
Ste 347
Boynton Beach, FL 33426
Phone (561) 742-4625

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1053509315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SW ELSINORE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872191",
            "telephone_number": "772-345-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SW ELSINORE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872191",
            "telephone_number": "772-345-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE A KEEGAN ARNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-345-3056",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1564272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.