NPIMap

Individual provider Active NPI

Jennifer L. Keating

  • Psychiatry Physician
  • Sioux Falls, SD
National Provider Identifier
1295231447
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0420 Issued in SD
Practice address
1400 W 22ND St
Sioux Falls, SD 57105-1554
Phone
(605) 322-5737
NPI assigned
Apr 4, 2018
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 67390 MN
Psychiatry Physician 2084P0800X 0420 SD Primary

Addresses

Primary practice location

1400 W 22ND St
Sioux Falls, SD 57105-1554

Mailing address

4109 E Brookline Dr
Sioux Falls, SD 57103-5601

Other practice location 1

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200625001664 MN Practitioner - Psychiatry 2264789817 Reassigns benefits to 1 organization
I20210608002356 SD Practitioner - Psychiatry 2264789817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Sanford School of Medicine of University of South Dakota, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volunteers of America DakotasGroup PAC ID 1850385840, 3 clinicians

Practice addresses (Care Compare)

1310 W 51St St
Sioux Falls, SD 57105-6606
Phone (605) 334-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420SDMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2023 Accepting new patients
Carris Health LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Volunteers of America, Dakotas CurrentSince Jan 30, 2026 Accepting new patients
Avera St. Luke's CurrentSince Jul 1, 2021 Accepting new patients
Avera St. Luke's Current Accepting new patients
Carris Health LLC CurrentSince Jul 1, 2020 Accepting new patients
Avera St. Lukes CurrentSince Jul 1, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1310 W 51st St
Sioux Falls, SD 57105
Phone (605) 334-1414

4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1295231447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 E BROOKLINE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051554",
            "telephone_number": "605-322-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Becker Ave SW",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562013302",
            "country_code": "US",
            "telephone_number": "320-235-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "67390",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "0420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.