Active NPI
Doreen R. Kehoe, N.P.
- Adult Health Nurse Practitioner
- Savannah, GA
National Provider Identifier
1376521526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN206799
- Practice address
- 6413 Waters Ave
Suite 102
Savannah, GA 31406-2711 - Phone
- (912) 349-6624
- Fax
- (912) 354-4694
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN309755 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN206799 | GA | Primary |
Addresses
Primary practice location
6413 Waters Ave
Suite 102
Savannah, GA 31406-2711
Mailing address
6413 Waters Ave
Suite 102
Savannah, GA 31406-2711
Phone (912) 349-6624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN309755 | CA | MD | Nurse Practitioner |
| RN206799 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret Ellis, MD, LLC | Past | Accepting new patients | |
| Hourlife LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356506026
-
dba The Center for Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Savannah, GA
- NPI 1275022907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1376521526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6413 WATERS AVE",
"address_2": "SUITE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062711",
"telephone_number": "912-349-6624",
"fax_number": "912-354-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6413 WATERS AVE",
"address_2": "SUITE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062711",
"telephone_number": "912-349-6624",
"fax_number": "912-354-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "DOREEN",
"middle_name": "R.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN309755",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN206799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.