Jessica Leeann Keen, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0000026102 Issued in TN

Practice address

1224 Gay St
Dandridge, TN 37725-4720

Phone

(865) 397-3444

Fax

(865) 397-6279

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Tinsley Bible Drug Company Inc

  • Community/Retail Pharmacy
  • Dandridge, TN
  • NPI 1043324650
  NPD (past)
• Tinsley Bible Drug Company Inc

  • Long Term Care Pharmacy
  • Dandridge, TN
  • NPI 1063202034
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1366690992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GAY ST",
            "address_2": "PO BOX 280",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254720",
            "telephone_number": "865-397-3444",
            "fax_number": "865-397-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GAY ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254720",
            "telephone_number": "865-397-3444",
            "fax_number": "865-397-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "JESSICA",
        "middle_name": "LEEANN",
        "name_prefix": "Miss",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TN",
            "license": "0000026102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson County Emergency Medical Serv.
• Jefferson County Nursing Home
• Madeline Elaine Johnson
• Daniel Joseph Jurek, ATC
• K VA T Food Stores Inc
• Jason A. Kennedy, DPT
• Lake Shore Retina, S.C. Corp
• Lakeside Medical, PLLC
• Lakeside of the Smokies Counseling PLLC
• Daphne Lakin, OT

• Pharmacy Technician in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Pharmacy Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.