Mary Sue Keen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166335 Issued in VA

Practice address

6791 Gov. G. C. Peery Hwy
Suite 3100
Richlands, VA 24641-2099

Phone

(276) 964-9102

Fax

(276) 963-2865

NPI assigned

Jun 8, 2006

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 VA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.keene@vab.hcadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinch Professional Physician Services LLC

  • Surgery Physician
  • Richlands, VA
  • NPI 1609994284
  Medicare reassignment NPD
• Clinch Professional Physician Services LLC

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1669157285
  NPD
• Muhammad R. Javed MD PC

  • Cardiovascular Disease Physician
  • Richlands, VA
  • NPI 1689767832
  NPD
• The Woman'S Group Richlands

  • Obstetrics & Gynecology Physician
  • Richlands, VA
  • NPI 1154541159
  NPD (past)
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1275573883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 900",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246229617",
            "telephone_number": "276-964-9102",
            "fax_number": "276-963-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 GOV. G. C. PEERY HWY",
            "address_2": "SUITE 3100",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412099",
            "telephone_number": "276-964-9102",
            "fax_number": "276-963-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "MARY",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Nichols Jeffries-Honeycutt, MD
• Terri Talbott Johnson, MPT
• Kristy Nicole Justice, LCSW
• Deepti Karnati, M.D.
• Carol Keen, FNP
• Emile I Khuri, MD
• Bradley Todd Kinder, LPC, CSAC
• Angela P Kiser, MS CCC A
• Virginia Koslow, PHARMD
• Allen Paul Lallande, O.D.

• Family Nurse Practitioner in Richlands, VA
• Providers in Richlands, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.