Andrew Matthew Keane, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3351 Issued in FL

Practice address

230 1St St SE
St Petersburg, FL 33701-4343

Phone

(757) 876-8540

NPI assigned

Mar 20, 2021

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1306422480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 4TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137914",
            "telephone_number": "757-876-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 1ST ST SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014343",
            "telephone_number": "757-876-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "ANDREW",
        "middle_name": "MATTHEW",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Kays, MD
• Susan Jane Kayser, MENTAL HEALTH COUNSE
• David W Kazarian, RPH
• Matthew Brian Kazee, RN
• KCS Transcare LLC.
• Jacqueline Kearn, RBT
• Satori Elizabeth Kearney, BCBA
• Ryan N Kebler, ATC/L, LMT
• Brittany Kathryn Kedersha, PTA
• Katelyn Victoria Keefer, PA-C

• Athletic Trainer in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.