Individual provider Active NPI

Renee Lea Keast, MSN,FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1194125583
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171897 Issued in VA
Practice address
3921 Prosperity Ave
Fairfax, VA 22031-3329
Phone
(866) 389-2727
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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 0024171897 VA Primary

Addresses

Primary practice location

3921 Prosperity Ave
Fairfax, VA 22031-3329

Mailing address

3921 Prosperity Ave
Fairfax, VA 22031-3329
Phone (703) 868-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150513002113 DC Practitioner - Nurse Practitioner 0345560496 Reassigns benefits to 2 organizations
I20151130001518 VA Practitioner - Nurse Practitioner 0345560496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

134 W Broad St
Falls Church, VA 22046-4201
Phone (866) 389-2727

1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone (866) 389-2727

3133 Lee Hwy
Arlington, VA 22201-4207
Phone (866) 389-2727

337 Maple Ave E
Vienna, VA 22180-4717
Phone (866) 389-2727

3921 Prosperity Ave
Fairfax, VA 22031-3329
Phone (866) 389-2727

415 E Monroe Ave
Alexandria, VA 22301-1624
Phone (866) 389-2727

6100 Arlington Blvd
Falls Church, VA 22044-2901
Phone (866) 389-2727

7205 Little River Tpke
Annandale, VA 22003-3304
Phone (866) 389-2727

8330 Old Keene Mill Rd
Springfield, VA 22152-1640
Phone (866) 389-2727

9009 Silverbrook Rd
Fairfax Station, VA 22039-2607
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Apr 27, 2015 Accepting new patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030

10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739

3921 Prosperity Ave
Fairfax, VA 22031
Phone (703) 216-1927

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1194125583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313329",
            "telephone_number": "703-868-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313329",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAST",
        "first_name": "RENEE",
        "middle_name": "LEA",
        "credential": "MSN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.