Individual provider Active NPI

Shenita Keve

  • Skilled Nursing Facility
  • Parkville, MD
National Provider Identifier
1285093468
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
A02121 Issued in MD
Practice address
1801 Wentworth Rd
Parkville, MD 21234-6128
Phone
(410) 661-5717
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X A02121 MD Primary

Addresses

Primary practice location

1801 Wentworth Rd
Parkville, MD 21234-6128

Mailing address

3507 Foxcliff CT
Apt. T2
Randallstown, MD 21133-4914
Phone (443) 615-9912

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

LicenseStateTypeSpecialty
A02121MDMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1285093468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 FOXCLIFF CT",
            "address_2": "APT. T2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334914",
            "telephone_number": "443-615-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WENTWORTH RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346128",
            "telephone_number": "410-661-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVE",
        "first_name": "SHENITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "A02121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.