Rebeka Keuten, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2300890 Issued in MA

Practice address

Andover Pediatrics
203 Turnpike St, Suite 200
North Andover, MA 01845

Phone

(978) 475-4522

Fax

(978) 688-6047

NPI assigned

Feb 8, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkeuten38384@direct.chppoc.masshiway.net

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.

• Andover Pediatrics

  • Pediatrics Physician
  • North Andover, MA
  • NPI 1548393176
  NPD
• Commonwealth Pediatrics, LLC

  • Primary Care Clinic/Center
  • Stoneham, MA
  • NPI 1588051874
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1396200895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANDOVER PEDIATRICS",
            "address_2": "203 TURNPIKE ST, SUITE 200",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-475-4522",
            "fax_number": "978-688-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDOVER PEDIATRICS",
            "address_2": "203 TURNPIKE ST, SUITE 200",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-475-4522",
            "fax_number": "978-688-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUTEN",
        "first_name": "REBEKA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2300890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110158248A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn E Keleher, MSW, LICSW
• Heidi Laura Kelleher, PMHNP-BC
• Russell Aaron Kelly, PA-C
• Sandra Lucille Kelsey, P.T.
• Jessica P Kenney, OTR/L
• Evgenia Khemlin, NP
• Kids Dr. PC
• Amy Kilmon
• John King, ATC
• Kinisi, LLC

• Pediatric Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.