Laura Lynn Keys, N.P.-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R863885 Issued in MS

Practice address

1963 W McDowell Rd
Jackson, MS 39204-4217

Phone

(601) 372-3632

Fax

(601) 372-7361

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Laura Lynn Phillips Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lkeys5316346@direct.casso.us.com

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.

• Jackson Oncology Associates

  • Hematology & Oncology Physician
  • Jackson, MS
  • NPI 1295776136

  MS

  Medicare reassignment NPD
• Jackson Oncology Associates

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1780192690
  NPD
• Lori J. Fulton, M.D.

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1053486571
  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124367644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CLEARY RD",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390738137",
            "telephone_number": "601-624-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 W MCDOWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044217",
            "telephone_number": "601-372-3632",
            "fax_number": "601-372-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-624-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYS",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03355409",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin L Galloway, DO PLLC
• Key Behavior Essentials L.L.C.
• Key Behavior Essentials L.L.C.
• Natasha Keyes Denson
• Fredric Keys
• Keystone Counseling, PLLC
• Keystone Medical & Supplies Inc
• Ayesha Khalid, MD
• Nazish Khaliq, MBBS, FCPS
• Basim Ahmed Khan, M.D.

• All providers in Jackson, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.