Active NPI
Mariana Keener, DO
- Family Medicine Physician
- Midlothian, VA
National Provider Identifier
1144726399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102205883
- Practice address
- 1520 Huguenot Rd Ste 114
Midlothian, VA 23113-2477 - Phone
- (804) 415-7462
- Fax
- (804) 207-8752
- NPI assigned
- Apr 4, 2018
- Last updated
- Sep 22, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102205883 | VA | Primary |
Addresses
Primary practice location
1520 Huguenot Rd Ste 114
Midlothian, VA 23113-2477
Mailing address
1520 Huguenot Rd Ste 114
Midlothian, VA 23113-2477
Phone (804) 415-7462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1144726399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 HUGUENOT RD STE 114",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132477",
"telephone_number": "804-415-7462",
"fax_number": "804-207-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 HUGUENOT RD STE 114",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132477",
"telephone_number": "804-415-7462",
"fax_number": "804-207-8752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "MARIANA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
- Rishika Kaundal, M.D.
- Ravneet Kaur
- Savneet Kaur
- Charles W Keblusek, M.D.,F.A.C.O.G.,P.C.
- Ariyana Keels, RN
- James Austin Keesee, PT, DPT
- Keeton, Gokli, Lubbe, Bridges-Poquis & Raddin, (Pediatric Dentistry and Orthodontics of Virginia)
- James Pierce Kegley III, LAT, ATC
- Scott B Kegley, LPC
- Derek Kegyeda
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.