Nicole L Keegan

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1174082291 Issued in ND

Practice address

913 N Anderson St
Bismarck, ND 58501-3409

Phone

(701) 541-2538

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1174082291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N ANDERSON ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013409",
            "telephone_number": "701-541-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N ANDERSON ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013409",
            "telephone_number": "701-541-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 13th Ave W Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014875",
            "country_code": "US",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "1174082291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Marie Kautzman, MSN, CNM, WHNP-BC
• Delora A Kautzmann, PSY.S., NCSP
• Morgan Kautzmann, DNP, FNP-C
• Gaylord J Kavlie, MD
• Olutayo Kayode, SLP
• Keeping the Promise
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• Personal Care Attendant in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.