Keetra Wright, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5 Wando PL
Beaufort, SC 29906-6041

Phone

(912) 332-3744

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Keetra Wright Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Keetra Wright

  • Nursing Care Agency
  • Beaufort, SC
  • NPI 1154938132
  NPD Authorized official
• United Freedom Healthcare LLC

  • Nursing Care Agency
  • Beaufort, SC
  • NPI 1003423807
  NPD Authorized official
• Wright Choice Diagnosis Center

  • Clinic/Center
  • Beaufort, SC
  • NPI 1679395594
  NPD Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1356851687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WANDO PL",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066041",
            "telephone_number": "912-332-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WANDO PL",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066041",
            "telephone_number": "912-332-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314042914",
            "country_code": "US",
            "telephone_number": "912-332-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEETRA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0000038095",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BEAUFORT",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "BEAUFORT",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BEAUFORT",
            "address_1": "5 Wando Pl",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299066041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEETRA",
            "last_name": "WRIGHT",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Shaun Woodruff, IDC
• Katherine Elizabeth Workman, PTA
• Wright Choice Diagnosis Center
• Angela Wright, LPCA
• Erika Lynne Wright, RN-BSN
• William Frank Wright, DDS
• Bruce Kevin Wyles, DDS
• Tracey Alexander Yazvac, BSN, RN
• David Yi, DMD
• Janice York, MA

• Behavior Analyst in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.