Emily Marie Keen

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN.0993450-NP Issued in CO

Practice address

1103 Oak Park Dr
Fort Collins, CO 80525-6273

Phone

(970) 226-5797

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Immersiv Health of Colorado, PLLC

  • Infectious Disease Physician
  • Greeley, CO
  • NPI 1043043466
  Medicare reassignment NPD
• Caremed Health Solutions of Colorado LLC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1568122059
  NPD
• Immersiv Health of Colorado, PLLC

  • Infectious Disease Physician
  • Englewood, CO
  • NPI 1154128015
  NPD (past)
• Immersiv Health of Colorado, PLLC

  • Infectious Disease Physician
  • Fort Collins, CO
  • NPI 1831914993
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1104336189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 OAK PARK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256273",
            "telephone_number": "970-226-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 OAK PARK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256273",
            "telephone_number": "970-226-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Drake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805265567",
            "country_code": "US",
            "telephone_number": "970-449-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEN",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-02-15",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0993450",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993450-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Keefer
• Shanna Keele, NP
• Kelly J Keeler, MA, LPC
• Rachael Keeler
• Keen Journey Therapy/Counseling LLC
• Micheal Kehl, ACSW LCSW MSW
• Lorrie Kehmeier, P.A.
• Melani Keith
• Melody Keith, IOMT
• Terrell Keith

• Adult Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.