Active NPI
Demetra Keith, NP
- Psychiatric/Mental Health Nurse Practitioner
- Augusta, ME
National Provider Identifier
1316592892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP191199
- Practice address
- 250 Arsenal St
Augusta, ME 04330-5742 - Phone
- (207) 624-4600
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP191199 | ME | Primary |
Addresses
Primary practice location
250 Arsenal St
Augusta, ME 04330-5742
Mailing address
6 Newport CT
Yarmouth, ME 04096-1549
Phone (281) 844-2593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716001196 | NH | Practitioner - Nurse Practitioner | 5799014205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Hampshire Medical Center | Current | Accepting new patients | |
| Southern New Hampshire Medical Center | Current | Accepting new patients |
Locations
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
Interoperability endpoints
- https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
- dkeith167532@direct.solutionhealth.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1598700940
-
- Psychiatric Hospital Unit
- Nashua, NH
- NPI 1740365683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1316592892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NEWPORT CT",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040961549",
"telephone_number": "281-844-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ARSENAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305742",
"telephone_number": "207-624-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "DEMETRA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP191199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.