Active NPI
Emily T Keenan, CRNP-F
- Family Nurse Practitioner
- Winchester, VA
National Provider Identifier
1154476612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168786
- Practice address
- 2281 Valley Ave
Winchester, VA 22601-2755 - Phone
- (703) 229-5453
- Fax
- (888) 352-8653
- NPI assigned
- Jan 24, 2007
- 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 Nurse Practitioner | 363LF0000X | 0024168786 | VA | Primary |
Addresses
Primary practice location
2281 Valley Ave
Winchester, VA 22601-2755
Mailing address
11713 Wolf Run LN
Clifton, VA 20124-2222
Phone (703) 830-7926
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400703400 | Medicaid | MD | |
| C0410037 | Other | DC | CAREFIRST OF DC |
| 88225501 | Other | MD | CAREFIRST OF MARYLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2281 Valley Ave
Winchester, VA 22601-2755
Phone (540) 215-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168786 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vamed Health Group LLC | Current | Accepting new patients | |
| Professional Management Services, LLC | Past | Accepting new patients | |
| Glenn G. Marinelli MD PA | Past | Accepting new patients | |
| J Richard Lilly MD Shaaron R Towns MD and Associates PC | Past | Accepting new patients | |
| Calvert Health Ventures Inc | Past | Accepting new patients |
Locations
6138 Redwood Square Ctr
Ste 204
Centreville, VA 20121
Phone (703) 229-5453
2281 Valley Ave
Winchester, VA 22601
Phone (540) 215-2211
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1154476612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11713 WOLF RUN LN",
"city": "CLIFTON",
"state": "VA",
"postal_code": "201242222",
"telephone_number": "703-830-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 VALLEY AVE",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012755",
"telephone_number": "703-229-5453",
"fax_number": "888-352-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "EMILY",
"middle_name": "T",
"credential": "CRNP-F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400703400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF DC",
"identifier": "C0410037",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MARYLAND",
"identifier": "88225501",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.