Individual provider Active NPI

Cherie L Keahey, CRNP

  • Family Nurse Practitioner
  • Sardis City, AL
National Provider Identifier
1063434561
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046883 Issued in AL
Practice address
1989 Sardis Dr
Sardis City, AL 35956-2344
Phone
(256) 492-0131
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1046883 AL Primary

Addresses

Primary practice location

1989 Sardis Dr
Sardis City, AL 35956-2344

Mailing address

PO Box 97
Gadsden, AL 35902-0097

Other identifiers 9

IdentifierTypeStateIssuer
630400099MedicaidAL
630401099MedicaidAL
630403099MedicaidAL
630413099MedicaidAL
630405099MedicaidAL
104626MedicaidAL
630406099MedicaidAL
630402099MedicaidAL
630408099MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000648 AL Practitioner - Nurse Practitioner 9739158270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1046883ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services Inc CurrentSince Jul 20, 2004 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jul 20, 2004 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients

Locations

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1989 Sardis Dr
Sardis City, AL 35956
Phone (256) 593-2371

Interoperability endpoints

  • Direct secure messaging: ckeahey333095@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1063434561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 SARDIS DR",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562344",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAHEY",
        "first_name": "CHERIE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1046883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630400099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630401099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630403099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630413099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630405099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104626",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630406099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630402099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630408099",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sardis City, AL

Sources for this page

Verify at the official NPI Registry.