Individual provider Active NPI

Nora Kathryn Keane, FNP-BC

  • Family Nurse Practitioner
  • Keenesburg, CO
National Provider Identifier
1164196853
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0996755 Issued in CO
Practice address
190 S Main St
Keenesburg, CO 80643-5002
Phone
(303) 732-4268
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0996755 CO Primary

Addresses

Primary practice location

190 S Main St
Keenesburg, CO 80643-5002

Mailing address

2676 Forest St
Denver, CO 80207-3246
Phone (970) 412-4925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201003127 CO Practitioner - Nurse Practitioner 0749670925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0996755COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Community Care CurrentSince Oct 4, 2021 Accepting new patients
Keene Clinic CurrentSince Aug 8, 2021 Accepting new patients

Locations

2594 Trailridge Dr E
Ste A
Lafayette, CO 80026
Phone (303) 449-7740

2594 Trailridge Dr E
Lafayette, CO 80026
Phone (303) 449-7740

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

Organizations & group practices 2

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1164196853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 FOREST ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073246",
            "telephone_number": "970-412-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S MAIN ST",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806435002",
            "telephone_number": "303-732-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "NORA",
        "middle_name": "KATHRYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0996755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keenesburg, CO

Sources for this page

Verify at the official NPI Registry.