Conner Reid Keyeski, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-79422-021 Issued in KS

Practice address

1026 Westdale Rd
Lawrence, KS 66049-2637

Phone

(785) 760-0695

NPI assigned

May 16, 2020

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20969/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1306468046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 WESTDALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492637",
            "telephone_number": "785-760-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 WESTDALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492637",
            "telephone_number": "785-760-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYESKI",
        "first_name": "CONNER",
        "middle_name": "REID",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79422-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent E. Dobbins O.D. & Jacob W. Letourneau O.D., P.a.
• Timothy N Keogh, LMSW
• Alex Michelle Kerr, LMSW
• Katherine Kershner
• Courtney Alex Keyes
• Hira Fatima Khan, D.C.
• Kerri Christina Khatib, LAC,LBSW
• Jason Ramadan Khomsi, T-LMSW
• Farhang R. Khosh, ND
• Mehdi L Khosh, ND

• Nurse Practitioner in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.