Individual provider Active NPI

Yvonne Elaine Keep, FNP-BC

  • Family Nurse Practitioner
  • Albany, OR
National Provider Identifier
1194901405
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850007NP Issued in OR
Practice address
1705 Waverly Dr SE
Albany, OR 97322-6952
Phone
(541) 967-8221
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36966 MT
Family Nurse Practitioner 363LF0000X 25740.0942 WY
Family Nurse Practitioner 363LF0000X 200850007NP OR Primary

Addresses

Primary practice location

1705 Waverly Dr SE
Albany, OR 97322-6952

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150

Other practice location 1

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150

Other identifiers 3

IdentifierTypeStateIssuer
36966OtherMTSTATE BOARD OF NURSING
500650453MedicaidOR
25740.0942OtherWYWYOMING NURSING LICENSE

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200850007NPORMDFamily Nurse Practitioner
25740.0942WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Jan 1, 2015 Accepting new patients
Icco LLC CurrentSince Jan 1, 2015 Accepting new patients
Daiya Healthcare PLLC CurrentSince Feb 3, 2023 Accepting new patients
Powell County Memorial Hospital Association Inc Past Accepting new patients
Powell County Memorial Hospital Association Inc Past Accepting new patients
Northwest Physician Associates PC Past Accepting new patients

Locations

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

Organizations & group practices 6

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194901405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WAVERLY DR SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226952",
            "telephone_number": "541-967-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-754-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEP",
        "first_name": "YVONNE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "36966",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "25740.0942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850007NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "36966",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650453",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING NURSING LICENSE",
            "identifier": "25740.0942",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.