Individual provider Active NPI

Kerry Keating, CNP

  • Family Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1215419247
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260006 Issued in MA
Practice address
295 Varnum Ave
Lowell, MA 01854-2134
Phone
(978) 937-6000
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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 RN260006 MA Primary

Addresses

Primary practice location

295 Varnum Ave
Lowell, MA 01854-2134

Mailing address

70 Springdale Rd
Dracut, MA 01826-2438

Other identifiers 1

IdentifierTypeStateIssuer
RN260006OtherMACERTIFIED NURSE PRACTITIONER

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190108003915 MA Practitioner - Nurse Practitioner 6507102779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians
Digestive Health Specialists, P.C.Group PAC ID 7416911011, 14 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

4 Meeting House Rd
Suite 6 8
Chelmsford, MA 01824-2766
Phone (978) 454-9811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Cardiology Current Accepting new patients
LGH Merrimack Valley Cardiology Associates, LLC CurrentSince Nov 1, 2021 Accepting new patients
Digestive Health Specialists, P.C. CurrentSince Dec 10, 2018 Accepting new patients

Locations

4 Meeting House Rd
Ste 68
Chelmsford, MA 01824
Phone (978) 454-9811

33 Bartlett St
Ste 503
Lowell, MA 01852
Phone (978) 458-4300

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

Interoperability endpoints

  • FHIR API: https://7dd4c9b2-8c33-42e8-9be4-1fef2411298a.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: kkeating46910@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1215419247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SPRINGDALE RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-937-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "KERRY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN260006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "RN260006",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.