Individual provider Active NPI

Dawn Keddie, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1104152834
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010558 Issued in PA
Practice address
26 S 27TH St Ste 201
Pittsburgh, PA 15203-2378
Phone
(412) 381-1949
Fax
(412) 381-1965
NPI assigned
Oct 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010558 PA Primary

Addresses

Primary practice location

26 S 27TH St Ste 201
Pittsburgh, PA 15203-2378

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other practice location 1

349 Cape May Ave
Pittsburgh, PA 15216-3709
Phone (412) 848-3769

Other practice location 2

1000 Bower Hill Rd Ste 312
Pittsburgh, PA 15243-1873
Phone (412) 381-1949

Other practice location 3

27 Heckel Rd Ste 106
Mc Kees Rocks, PA 15136-1672
Phone (412) 381-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100624000747 PA Practitioner - Nurse Practitioner 3274664917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Preferred Primary Care Physicians, Inc.Group PAC ID 8527967256, 88 clinicians

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

26 S 27TH St
Suite 201
Pittsburgh, PA 15203-2378
Phone (412) 381-1949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Preferred Primary Care Physicians CurrentSince Jan 1, 2018 Accepting new patients
Preferred Primary Care Physicians, Inc. Current Accepting new patients
Jalit Tuchinda M.D., PC Past Accepting new patients
John C Phillips MD LLC Past Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

27 Heckel Rd
Ste 106
Mc Kees Rocks, PA 15136
Phone (412) 381-1949

1000 Bower Hill Rd
Ste 203
Pittsburgh, PA 15243
Phone (412) 232-8688

1000 Bower Hill Rd
Ste 312
Pittsburgh, PA 15243
Phone (412) 381-1949

1910 Cochran Rd
Ste 490
Pittsburgh, PA 15220

26 S 27th St
Ste 201
Pittsburgh, PA 15203
Phone (412) 381-1949

Interoperability endpoints

  • Direct secure messaging: dawnkeddiecrnp@preferred.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1104152834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S 27TH ST STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032378",
            "telephone_number": "412-381-1949",
            "fax_number": "412-381-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Cape May Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152163709",
            "country_code": "US",
            "telephone_number": "412-848-3769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Bower Hill Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-381-1949",
            "fax_number": "412-381-1965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Heckel Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361672",
            "country_code": "US",
            "telephone_number": "412-381-1949",
            "fax_number": "412-381-1965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEDDIE",
        "first_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.