Andrea Michelle Keith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18531 Issued in TN

Practice address

400 Stuart Rd NE Ste 1
Cleveland, TN 37312-4995

Phone

(423) 303-7966

Fax

(423) 458-4338

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1265850796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STUART RD NE STE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124995",
            "telephone_number": "423-303-7966",
            "fax_number": "423-458-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STUART RD NE STE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124995",
            "telephone_number": "423-303-7966",
            "fax_number": "423-458-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Macchio Kapperman, OD
• Karin Moore
• Karis Community Health
• Shobha Karwan, MD
• Leslie Eileen Kay, LPC
• Cassie Keller, DPH
• Melody Rae Wallace Kelley, CBD (AWWS)
• Kelli Jackson
• Taylor Nichole Kelso
• Ajitkumar Kemkar, MD

• Family Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.