Individual provider Active NPI

Alice Susan Keeton, CRNP

  • Acute Care Nurse Practitioner
  • Sheffield, AL
National Provider Identifier
1356312680
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1052368 Issued in AL
Practice address
1100 South Jackson Highway
Suite 150
Sheffield, AL 35660-5774
Phone
(256) 383-4447
Fax
(256) 381-7999
NPI assigned
Jan 26, 2006
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1052368 AL Primary

Addresses

Primary practice location

1100 South Jackson Highway
Suite 150
Sheffield, AL 35660-5774

Mailing address

1100 South Jackson Highway
Suite 150
Sheffield, AL 35660-5774
Phone (256) 383-4447

Other identifiers 1

IdentifierTypeStateIssuer
009913650MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110131000915 AL Practitioner - Nurse Practitioner 9133308554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1052368ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince May 1, 2013 Accepting new patients
North Alabama Physicians Service, LLC Past Accepting new patients

Locations

541 W College St
Ste 1100
Florence, AL 35630
Phone (256) 766-2118

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1356312680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTH JACKSON HIGHWAY",
            "address_2": "SUITE 150",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605774",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTH JACKSON HIGHWAY",
            "address_2": "SUITE 150",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605774",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "ALICE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1052368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.