Individual provider Active NPI

Lee Keegan, MD

  • Pediatrics Physician
  • Cedar Park, TX
National Provider Identifier
1134323629
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N6897 Issued in TX
Practice address
345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4483
Phone
(512) 336-2777
Fax
(512) 336-2778
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N6897 TX Primary

Addresses

Primary practice location

345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4483

Mailing address

PO Box 52001
Dept 923
Phoenix, AZ 85072-2001
Phone (512) 336-2777

Other identifiers 1

IdentifierTypeStateIssuer
214041001MedicaidTX

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6897TXMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: lee.keegan.3@11316.direct.athenahealth.com
  • Direct secure messaging: lee.keegan.2@11316.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1134323629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52001",
            "address_2": "DEPT 923",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722001",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CYPRESS CREEK RD",
            "address_2": "STE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134483",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214041001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.