Individual provider Active NPI

Diana Lynn Keith, M.A. A.T.,C.

  • Athletic Trainer
  • Glen Burnie, MD
National Provider Identifier
1285627679
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
089302478
Practice address
Empire Medical Building 200 Hospital Drive
Chesapeake Orthopeadics & Sports Medicine
Glen Burnie, MD 21061
Phone
(410) 768-5555
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 089302478 Primary

Addresses

Primary practice location

Empire Medical Building 200 Hospital Drive
Chesapeake Orthopeadics & Sports Medicine
Glen Burnie, MD 21061

Mailing address

8131 Chestnut Ave
Bowie, MD 20715-4521
Phone (410) 774-5694

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1285627679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 CHESTNUT AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154521",
            "telephone_number": "410-774-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMPIRE MEDICAL BUILDING 200 HOSPITAL DRIVE",
            "address_2": "CHESAPEAKE ORTHOPEADICS & SPORTS MEDICINE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-768-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "M.A.  A.T.,C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "089302478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.