Lisa Keegan, AGPCNP-BC, WHNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2299338 Issued in MA

Practice address

124 Professors Row
Medford, MA 02155-5816

Phone

(617) 627-3350

Fax

(617) 627-3592

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tufts University Health Service

  • Health Service Clinic/Center
  • Medford, MA
  • NPI 1669658712
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306381785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555816",
            "telephone_number": "617-627-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555816",
            "telephone_number": "617-627-3350",
            "fax_number": "617-627-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "LISA",
        "credential": "AGPCNP-BC, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-07-07",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2299338",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2299338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenal Kaur, DMD
• Elizabeth Keating-Cohen, PHD
• Kelsey Lynne Keefe
• Paige Keefe, LMHC
• Christin S Keegan, M.S., CCC-SLP
• Andrew L Keehn, D.C.
• Kayla Marie Keirstead
• Jai Bea Keller, L.M.H.C.
• Janice E Kelley, RN
• Elizabeth Kellogg

• Primary Care Nurse Practitioner in Medford, MA
• Providers in Medford, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.