Keegan Main
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ashaway, RI
NPI 1225978588 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1225978588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN65323 (RI)
- Practice address
- 361 Tomaquag Rd
Ashaway, RI 02804-2912 - Phone
- (401) 440-5528
- NPI assigned
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN65323 | RI | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | RN65323 | RI | Yes |
Addresses
Primary practice location
361 Tomaquag Rd
Ashaway, RI 02804-2912
Mailing address
361 Tomaquag Rd
Ashaway, RI 02804-2912
Other practice location 1
17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 506-1115
Other practice location 2
398 Bellevue Ave
Newport, RI 02840-6955
Phone (718) 506-1115
Other providers in Ashaway, RI
- Ashaway Ambulance Association Inc
- Kayla Debigare
- Justine M Gengarella
- Brittany Hunt
- Ann Marie Kirby
- Diane Marie Nadeau
- Turning Pointe Therapeutic Riding
All providers in Ashaway, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.