Individual provider Active NPI

Elizabeth Sarah McKeen, NP

  • Nurse Practitioner
  • Scituate, MA
National Provider Identifier
1346893427
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2286143 Issued in MA
Practice address
15 Linden Ave
Scituate, MA 02066-3905
Phone
(774) 249-1268
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2286143 MA
Nurse Practitioner 363L00000X RN2286143 MA Primary

Addresses

Primary practice location

15 Linden Ave
Scituate, MA 02066-3905

Mailing address

544 Ship Pond Rd
Plymouth, MA 02360-1788
Phone (774) 249-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20191024000289 MA Practitioner - Nurse Practitioner 2961734967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2286143MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwell Visiting Nurse Association, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1346893427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 SHIP POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601788",
            "telephone_number": "774-249-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LINDEN AVE",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663905",
            "telephone_number": "774-249-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEN",
        "first_name": "ELIZABETH",
        "middle_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286143",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2286143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.