Juanita Keen, FNP
Individual provider Active NPI Family Nurse Practitioner · Grundy, VA
NPI 1376093096 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1376093096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024174040 (VA)
- Practice address
- 1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975 - Phone
- (276) 935-2080
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Buchanan Health Center Inc
Practice addresses (Care Compare)
1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Phone (276) 935-2080
PO Box
Suite 1217
Grundy, VA 24614-6975
Hospital & facility affiliations
- Buchanan General Hospital
- Clinch Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161215002071 | VA | Practitioner - Nurse Practitioner | 7416237110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174040 | VA | Yes |
Addresses
Primary practice location
1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Mailing address
1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Other providers in Grundy, VA
- Tammy Hurley
- Bradley Hutchinson
- Leah Jessee
- Joshua P Sutherland Jr PC
- Tabatha L Justus
- Candace P Kelly
- Leighton Eugene Lawrence
- Shaina Reese-Ann Lester
- Zackary Allen Lester
- Levisa Pharmacies Inc
All providers in Grundy, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.