Active NPI
William L Keyser, LPN
- Licensed Practical Nurse
- Glenside, PA
National Provider Identifier
1104084417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN105484L
- Practice address
- 728 Castlewood Rd
Glenside, PA 19038-4308 - Phone
- (215) 517-8722
- Fax
- (215) 517-8723
- NPI assigned
- May 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN105484L | PA | Primary |
Addresses
Primary practice location
728 Castlewood Rd
Glenside, PA 19038-4308
Mailing address
728 Castlewood Rd
Glenside, PA 19038-4308
Phone (215) 517-8722
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 |
|---|---|---|---|
| PN105484L | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1104084417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 CASTLEWOOD RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384308",
"telephone_number": "215-517-8722",
"fax_number": "215-517-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 CASTLEWOOD RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384308",
"telephone_number": "215-517-8722",
"fax_number": "215-517-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYSER",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN105484L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.