Bree Keith, MS, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

54035 Issued in AR

Practice address

2401 Hickory Wood Ave
Lowell, AR 72745-6023

Phone

(501) 732-0531

NPI assigned

Apr 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bree Clayton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1245627413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PIN OAK CV",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HICKORY WOOD AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727456023",
            "telephone_number": "501-732-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Pin Oak Cv",
            "address_purpose": "LOCATION",
            "city": "Maumelle",
            "state": "AR",
            "postal_code": "721136804",
            "country_code": "US",
            "telephone_number": "501-732-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "BREE",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "54035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREE",
            "last_name": "CLAYTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kathy L. Mayhew, D.O., PA (Lowell Family Clinic)
• Keenan R. Decker D.M.D.
• Christina Kehn, LCSW
• Taylor Beauregard Kelamis, APRN, FNP-C
• Christopher Alan Kelsey, OT
• Ketamine and IV Therapy Clinic of Nwa LLC (ascend wellness)
• Tina Kimbrough
• Krcare,LLC (FirstLight Home Care NWA)

• Athletic Trainer in Lowell, AR
• Providers in Lowell, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.