Individual provider Active NPI

Lindsay Anne Keene, FNP-C

  • Nurse Practitioner
  • Reston, VA
National Provider Identifier
1174015614
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176127 Issued in VA
Practice address
12018 Sunrise Valley Dr
Reston, VA 20191
Phone
(571) 262-5200
NPI assigned
May 31, 2018
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176127 VA Primary

Addresses

Primary practice location

12018 Sunrise Valley Dr
Reston, VA 20191

Mailing address

454 Walnut Dr
Cedar Bluff, VA 24609-8712
Phone (276) 701-5101

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001352 VA Practitioner - Nurse Practitioner 9335677087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Hospice IncGroup PAC ID 6002884327, 4 clinicians

Practice addresses (Care Compare)

1963 2ND St
Richlands, VA 24641-2303
Phone (276) 596-9181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospice Inc. Nurse Practitioner CurrentSince Nov 22, 2024 Accepting new patients
Oasis Wellness Care LLC PastSince Jul 13, 2024 Accepting new patients
Virginia in-Home Partner-XII, LLC Nurse Practitioner PastSince Nov 22, 2024 Accepting new patients

Locations

128 Glenwood St
Cedar Bluff, VA 24609
Phone (276) 596-9181

1963 2nd St
Richlands, VA 24641
Phone (276) 596-9181

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1174015614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 WALNUT DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246098712",
            "telephone_number": "276-701-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "571-262-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "LINDSAY",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.