Keely Allison Kearns, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1045862 Issued in TX

Practice address

2028 E Ben White Blvd Ste 240-4949
Austin, TX 78741-6966

Phone

(512) 655-3578

NPI assigned

Feb 1, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1366033474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 DENNIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144501",
            "telephone_number": "817-715-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 240-4949",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "512-655-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "KEELY",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045862",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1045862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1045862",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ke Wang Orthodontics PLLC
• Jared Kealy, MD
• Kearley & Schmitt PLLC
• Daniel Owen Kearley, LCSW
• Susan C Kearney, LCSW
• Kyle Kearns, LMFT-ASSOCIATE
• Callison Marie Keating, LCSW
• Heather Keating, PHARMD
• Erica Delaine Keaton, RBT
• Sydney Ann Keatts, MD

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.