Active NPI
Rachelle Keegan, LPN
- Licensed Practical Nurse
- Southborough, MA
National Provider Identifier
1265789812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN89161
- Practice address
- 175 Main St
Southborough, MA 01772-1437 - Phone
- (413) 230-5629
- NPI assigned
- Aug 13, 2012
- Last updated
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN89161 | MA | Primary |
Addresses
Primary practice location
175 Main St
Southborough, MA 01772-1437
Mailing address
175 Main St
PO Box 752
Southborough, MA 01772
Phone (413) 230-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN89161 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1265789812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MAIN ST",
"address_2": "PO BOX 752",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "01772",
"telephone_number": "413-230-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MAIN ST",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721437",
"telephone_number": "413-230-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "RACHELLE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN89161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.