Organization Active NPI

Lynn Keefe, MD Pediatrics, LLC

Doing business as Lynn Keefe MD Pediatrics

  • Pediatrics Physician
  • Niceville, FL
National Provider Identifier
1295320984
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LYNN KEEFE, MD PEDIATRICS, LLC
Doing business as
Lynn Keefe MD Pediatrics
Practice address
2600 Partin Dr N Ste 320
Niceville, FL 32578-1543
Phone
(118) 503-0522
Fax
(850) 279-6760
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Dr. Lynn McDonnell Keefe, MDNPI 1619957503
Title
President
Phone
(850) 279-6260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2600 Partin Dr N Ste 320
Niceville, FL 32578-1543

Mailing address

2600 Partin Dr N Ste 320
Niceville, FL 32578-1543
Phone (118) 503-0522

Other names 1

  • Lynn Keefe MD Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2127051Lynn Keefe, MD Pediatrics2600 Partin Dr N, BLGD 300 Suite 320, Niceville, FL 32578Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Locations

2600 Partin Dr N
Ste 320
Niceville, FL 32578
Phone (850) 279-6260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1295320984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 320",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "118-503-0522",
            "fax_number": "850-279-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 320",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "118-503-0522",
            "fax_number": "850-279-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN KEEFE, MD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MCDONNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-279-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Keefe MD Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.