Individual provider Active NPI

Chheary Keath, NP

  • Family Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1144791021
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2284406 Issued in MA
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

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Nov 9, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chheary.keath@398008301912068.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.