Individual provider Active NPI

Brittany Johnee Keaton, MSN, FNP-C

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1245771401
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133556 Issued in TX
Practice address
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone
(682) 207-1700
Fax
(682) 250-5246
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133556 TX
Nurse Practitioner 363L00000X AP133556 TX Primary

Addresses

Primary practice location

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866

Mailing address

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

Other identifiers 1

IdentifierTypeStateIssuer
370143501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkeaton12220@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170515000805 TX Practitioner - Nurse Practitioner 2961789284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133556TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1245771401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "BRITTANY",
        "middle_name": "JOHNEE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133556",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370143501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkeaton12220@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1902 Windsor Pl Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.