Active NPI
Sharon R Keating, NP
- Pediatric Nurse Practitioner
- Middletown, RI
National Provider Identifier
1104012558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 02548
- Practice address
- 1272 W Main Rd Ste 1
Middletown, RI 02842-6405 - Phone
- (401) 847-2290
- Fax
- (401) 849-8446
- NPI assigned
- Sep 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 02548 | RI | Primary |
| Pediatrics Physician | 208000000X | 223424 | MA |
Addresses
Primary practice location
1272 W Main Rd Ste 1
Middletown, RI 02842-6405
Mailing address
1272 W Main Rd Ste 1
Middletown, RI 02842-6405
Phone (401) 847-2290
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223424 | MA | MD | Pediatrics Physician |
| 02548 | RI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wareham Pediatric Associates PC | Pediatrics | Past | Accepting new patients |
| Aquidneck Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFBBAA/Endpoint/GFBBAA
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Middletown, RI
- NPI 1245681626
-
- Pediatrics Physician
- Wareham, MA
- NPI 1659439891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1104012558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 W MAIN RD STE 1",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028426405",
"telephone_number": "401-847-2290",
"fax_number": "401-849-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 W MAIN RD STE 1",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028426405",
"telephone_number": "401-847-2290",
"fax_number": "401-849-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "SHARON",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "RI",
"license": "02548",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "223424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.