Judy Lackey Keighron, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201255 Issued in NC

Practice address

308C Mocksville Hwy
Statesville, NC 28625-8267

Phone

(704) 873-4484

Fax

(704) 873-4485

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iredell Home Health Home health agency, Statesville, NC, CCN 347059
• Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Greenbriar Primary Care, PA

  • Family Nurse Practitioner
  • Statesville, NC
  • NPI 1477789147
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iredell Memorial Hospital Incorporated

  dba Iredell Home Health

  • Home Health Agency
  • Statesville, NC
  • NPI 1215986260
  Care Compare affiliation
• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1417944224
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1073739843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W MEADOWVIEW DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252448",
            "telephone_number": "704-876-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308C MOCKSVILLE HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258267",
            "telephone_number": "704-873-4484",
            "fax_number": "704-873-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIGHRON",
        "first_name": "JUDY",
        "middle_name": "LACKEY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil M Kassman, M.D.
• Matthew S Katsamas
• Karen Kauffman, CRNA
• Janice Hope Kay, LPA
• Bobby Paxton Kearney, M.D.
• Loralin Marie Keller-Soundara, LCSW-A
• David V Keller, PA-C
• Erica Ault Kelly, PA-C
• Brittanie Kendrick
• Brandi Gallaher Kennedy, MD

• Family Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.