Peggy D Keen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3152852 Issued in FL

Practice address

1100 Loveland Blvd
Port Charlotte, FL 33980-1802

Phone

(941) 624-7200

Fax

(941) 624-7202

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1174816979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801802",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801802",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "PEGGY",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3152852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP3152852",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kast, LDO, ABOC, NCLEC
• Kristin Elizabeth Kauffman, D.C.
• Kianoosh Kaveh, DO
• Kay W. O'Leary, D.D.S., P.a.
• Anne M Keck, PA-C
• David Andrew Kellenberger, PA, RD
• Janet Kelley
• Venda Kelley, ARNP
• Marcella Kelly, CRNP
• Shelby Kelly, PT

• Family Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.