Carrie-Anne Keane, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61561470 Issued in WA

Practice address

3203 Wilton LN E
Fife, WA 98424-2315

Phone

(253) 533-5768

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wapato Creek Health and Wellness, Inc.Group PAC ID 1557752110, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie-anne.keane@736586952474628.direct.elationemr.com

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.

• Wapato Creek Health and Wellness, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Fife, WA
  • NPI 1245999655
  Medicare reassignment Care Compare group NPD
• Gateway Community Services, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1356305338
  Medicare reassignment NPD
• Sierra Skies Mental Health and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gig Harbor, WA
  • NPI 1538011895
  NPD Authorized official
• Author Care Group, PA

  • Psychiatry Physician
  • Miami, FL
  • NPI 1780527325
  NPD (past)
• Author Health Professionals, PC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1740897321
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1396421012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 COURTNEY WOODS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241884",
            "telephone_number": "772-240-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 WILTON LN E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242315",
            "telephone_number": "253-533-5768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Stockton St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042534",
            "country_code": "US",
            "telephone_number": "904-387-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEANE",
        "first_name": "CARRIE-ANNE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027127",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61561470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Jones
• Christopher Jones
• Joy Bringers Afh LLC
• Kelley Juma
• Rachel Kamau
• Keith Phillips, DMD, MSD, PS, Inc
• Alyssa Jayne Keller, ARNP
• Kelvin Kemboi
• Waheedullah Kharkash, LPN
• Benadeta Kimani

• Psychiatric/Mental Health Nurse Practitioner in Fife, WA
• Providers in Fife, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.