Individual provider Active NPI

Karla Keaney, M.D.

  • Pediatrics Physician
  • Creve Coeur, MO
National Provider Identifier
1306142963
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2013006236 Issued in MO
Practice address
11630 Studt Ave
Suite 200
Creve Coeur, MO 63141-7016
Phone
(314) 567-7337
Fax
(314) 851-4476
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2013006236 MO Primary

Addresses

Primary practice location

11630 Studt Ave
Suite 200
Creve Coeur, MO 63141-7016

Mailing address

11630 Studt Ave
Suite 200
Creve Coeur, MO 63141-7016
Phone (314) 567-7337

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013006236MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Pediatrics PastSince Jun 20, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karla.keaney.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1306142963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "314-567-7337",
            "fax_number": "314-851-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "314-567-7337",
            "fax_number": "314-851-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANEY",
        "first_name": "KARLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2013006236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.