Active NPI
Chheary Keath, NP
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1144791021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2284406
- Practice address
- 44 W Boylston St # 299
Worcester, MA 01605-1261 - Phone
- (508) 852-0238
- NPI assigned
- Dec 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2284406 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2284406 | MA | Primary |
Addresses
Primary practice location
44 W Boylston St # 299
Worcester, MA 01605-1261
Mailing address
44 W Boylston St
Worcester, MA 01605-1261
Phone (508) 852-0238
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckeath27278@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
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: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Massachusetts College of Osteopathy, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
33 Burghardt St
Worcester, MA 01604-1508
640 S San Vicente Blvd
Suite 442
Los Angeles, CA 90048-4696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Interoperability endpoints
- chheary.keath@398008301912068.direct.elationemr.com
- ckeath27278@umassmemorial.direct-ci.com
Organizations & group practices 1
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.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1144791021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 W BOYLSTON ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051261",
"telephone_number": "508-852-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W BOYLSTON ST # 299",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051261",
"telephone_number": "508-852-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATH",
"first_name": "CHHEARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2284406",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2284406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckeath27278@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "198 Ayer Rd",
"city": "Harvard",
"state": "MA",
"country_code": "US",
"postal_code": "014511163",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "198 Ayer Rd",
"city": "Harvard",
"state": "MA",
"country_code": "US",
"postal_code": "014511163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.