Individual provider Active NPI

Janice F Keith, FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1124303516
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003580 Issued in KY
Practice address
927 E Broadway
Louisville, KY 40204-1001
Phone
(859) 252-6500
Fax
(502) 222-0029
NPI assigned
Oct 17, 2011
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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 3003580 KY Primary

Addresses

Primary practice location

927 E Broadway
Louisville, KY 40204-1001

Mailing address

927 E Broadway
Louisville, KY 40204-1001
Phone (859) 252-6500

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3003580KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Stop Urgent Care Broadway PSC Family PastSince Dec 30, 2012 Accepting new patients
Kentuckyone Health Medical Group, Inc. Past Accepting new patients
Lake Cumberland District Health Department Past Accepting new patients
Lake Cumberland District Health Department Past Accepting new patients
Lake Cumberland District Health Department Past Accepting new patients
First Stop Urgent Care Dupont PSC Family Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1124303516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041001",
            "telephone_number": "859-252-6500",
            "fax_number": "502-222-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041001",
            "telephone_number": "859-252-6500",
            "fax_number": "502-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JANICE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.