Active NPI
Diana Lynn Keith, M.A. A.T.,C.
- Athletic Trainer
- Glen Burnie, MD
National Provider Identifier
1285627679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- 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
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 |
|---|---|---|---|---|
| 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.