Active NPI
Cherie L Keahey, CRNP
- Family Nurse Practitioner
- Sardis City, AL
National Provider Identifier
1063434561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1046883
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630400099 | Medicaid | AL | |
| 630401099 | Medicaid | AL | |
| 630403099 | Medicaid | AL | |
| 630413099 | Medicaid | AL | |
| 630405099 | Medicaid | AL | |
| 104626 | Medicaid | AL | |
| 630406099 | Medicaid | AL | |
| 630402099 | Medicaid | AL | |
| 630408099 | Medicaid | AL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046883 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | 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
- 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.
-
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1447200977
-
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1902856214
-
- Federally Qualified Health Center (FQHC)
- Anniston, AL
- NPI 1013339209
-
- Federally Qualified Health Center (FQHC)
- Heflin, AL
- NPI 1467620989
-
- Community Health Clinic/Center
- Walnut Grove, AL
- NPI 1588615959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.