Charlene M Kegg, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0024167854 Issued in VA

Practice address

902 S Jefferson St
Roanoke, VA 24016-4404

Phone

(540) 985-9862

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1306000468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164404",
            "telephone_number": "540-985-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164404",
            "telephone_number": "540-985-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGG",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Elizabeth Keen
• Bridgette Leigh Keene, FNP
• C Lynn M Keene, M.D.
• Donald Kees, MD
• Douglas F C Keffer, PH D
• Janet Brockington Kegley, PHD
• Gary August Kehres, D.C.
• David Keilman, MD
• Megan Leigh Keith, LCSW
• Tara Keith

• Women's Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Women's Health Nurse Practitioner in Virginia

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