Active NPI
Keith Justice
- Health Educator
- Cincinnati, OH
National Provider Identifier
1063824480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 003845
- Practice address
- 1 Paul Brown Stadium
Cincinnati, OH 45202-3418 - Phone
- (513) 455-8441
- NPI assigned
- May 21, 2014
- Last updated
- May 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 003845 | OH | Primary |
Addresses
Primary practice location
1 Paul Brown Stadium
Cincinnati, OH 45202-3418
Mailing address
5540 Fox Rd
Cincinnati, OH 45239-7238
Phone (513) 455-8441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003845 | OH | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1063824480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 FOX RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397238",
"telephone_number": "513-455-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PAUL BROWN STADIUM",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452023418",
"telephone_number": "513-455-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OH",
"license": "003845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.