Active NPI
Alyson Yvonne Keen, PHD, RN, ACNS-BC
- Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1124734264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 28189437A
- Practice address
- 1701 N Senate Ave
Indianapolis, IN 46202-5306 - Phone
- (317) 341-3060
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 28189437A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Ave
Indianapolis, IN 46202-5306
Mailing address
4732 Palomino TRL
Indianapolis, IN 46239-9542
Phone (317) 935-1021
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)
- Not enrolled
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28189437A | IN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1124734264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4732 PALOMINO TRL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462399542",
"telephone_number": "317-935-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025306",
"telephone_number": "317-341-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "ALYSON",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "PHD, RN, ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "28189437A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.