Meredith Rene Keeton, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 0000001646 Issued in TN

Practice address

555 Hartsville Pike
Gallatin, TN 37066-2400

Phone

(615) 328-8888

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1104881184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 ROYAL ELM CIR",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370742004",
            "telephone_number": "615-374-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662400",
            "telephone_number": "615-328-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "MEREDITH",
        "middle_name": "RENE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT 2999",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1200",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT 0000001646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jordan
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• Manu Joseph, P.T.
• Journey Medical, LLC
• Jason L Kastner, MD
• Kayla Marie Kelley
• Lisa S Kellogg, D.O.
• Michael Sean Kellogg, DO
• Samantha Jo Kelly
• Kellie Keown

• Athletic Trainer in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.