Individual provider Active NPI

Meghan Kelly Keating, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Augustine, FL
National Provider Identifier
1194655092
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11047749 Issued in FL
Practice address
2475 US 1 S
Saint Augustine, FL 32086-6077
Phone
(813) 999-1516
Fax
(813) 441-8519
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11047749 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2276960 MA

Addresses

Primary practice location

2475 US 1 S
Saint Augustine, FL 32086-6077

Mailing address

255 Rivertown Shops Dr Ste 102
Saint Johns, FL 32259-7507

Other practice location 1

255 Rivertown Shops Dr Ste 102
Saint Johns, FL 32259-7507
Phone (904) 679-3799

Other names 1

  • Meghan Kelly Lynch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11047749FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1194655092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 RIVERTOWN SHOPS DR STE 102",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 US 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866077",
            "telephone_number": "813-999-1516",
            "fax_number": "813-441-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Rivertown Shops Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322597507",
            "country_code": "US",
            "telephone_number": "904-679-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "MEGHAN",
        "middle_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11047749",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2276960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "LYNCH",
            "middle_name": "KELLY",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.