Individual provider Active NPI

Kelsie Keen, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1194047720
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11326 Issued in TX
Practice address
10700 Anderson Mill Rd Ste 220
Austin, TX 78750-2402
Phone
(512) 335-8700
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11326 TX Primary

Addresses

Primary practice location

10700 Anderson Mill Rd Ste 220
Austin, TX 78750-2402

Mailing address

10700 Anderson Mill Rd Ste 220
Austin, TX 78750-2402
Phone (512) 335-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000605 TX Practitioner - Chiropractic 6507996550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keen Family Chiropractic, PLLCGroup PAC ID 0840605432, 2 clinicians

Practice addresses (Care Compare)

10700 Anderson Mill Rd
Suite 220
Austin, TX 78750-2402
Phone (512) 335-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11326TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keen Family Chiropractic, PLLC Chiropractor CurrentSince Jun 26, 2020 Accepting new patients

Locations

10700 Anderson Mill Rd
Ste 220
Austin, TX 78750
Phone (512) 335-8700

Organizations & group practices 1

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1194047720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 ANDERSON MILL RD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502402",
            "telephone_number": "512-335-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 ANDERSON MILL RD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502402",
            "telephone_number": "512-335-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "KELSIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.