Active NPI
Douglas Edward Keen, LAT,ATC,RTR
- Athletic Trainer
- Carmel, IN
National Provider Identifier
1316911480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877 - Phone
- (317) 876-7503
- Fax
- (317) 595-1190
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IN | Primary |
Addresses
Primary practice location
755 W Carmel Dr
Suite 150
Carmel, IN 46032-5877
Mailing address
16720 Yeoman Way
Westfield, IN 46074-8092
Phone (317) 867-0868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360004484A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316911480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16720 YEOMAN WAY",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460748092",
"telephone_number": "317-867-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 W CARMEL DR",
"address_2": "SUITE 150",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325877",
"telephone_number": "317-876-7503",
"fax_number": "317-595-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "DOUGLAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LAT,ATC,RTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.