Maria Tarlue Keita, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

768 Issued in MN

Practice address

140 124TH LN NW
Coon Rapids, MN 55448-2690

Phone

(763) 639-8398

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1215365606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 124TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482690",
            "telephone_number": "763-639-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 124TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482690",
            "telephone_number": "763-639-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITA",
        "first_name": "MARIA",
        "middle_name": "TARLUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Kautza, ATC
• Jessica V Kealhofer, M.D.
• Carol Louise Keene, R.PH.
• Marisa Keidel, NP
• Jennifer T Keis, M.D.
• Curtis Lee Keller, MD
• Erika Keller
• Birgit Olsen Kelly, LICSW
• Suzanne Maxine Kelly, LMFT
• Kelsey Sorensen LLC (Northern Oak Wellness)

• Gerontology Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.