Shelly Ann Keough, APRN-CNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1049146 Issued in TX

Practice address

503 W Main St
Waxahachie, TX 75165-3235

Phone

(972) 937-5252

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Apn Behavioral Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Ovilla, TX
  • NPI 1417190745
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1306514708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 ESPANA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335416",
            "telephone_number": "972-523-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W MAIN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653235",
            "telephone_number": "972-937-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "1049146",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Keehn, RN, MS(N), PSYD, LPA
• Timothy John Kelly, M.D.
• Abby Kelso, MS. CCC-SLP
• Cynthia Allison Kemp, M.S., CCC-SLP
• Richard Galen Kemp, MD
• Sarah Ann Key, DMD MS
• Kezia Drake Counseling
• Shahram Khalid, M.D
• Amir Maqbul Khan, MD
• Nashita Khandakar, PA-C

• Family Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.