Individual provider Active NPI

Anand E. E. Holtham-Keathley, RN., BSN.

  • Registered Nurse
  • Eugene, OR
National Provider Identifier
1417483983
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201404272RN Issued in OR
Practice address
151 W 7TH Ave
Suite 310
Eugene, OR 97401-1100
Phone
(541) 525-2398
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201404272RN OR Primary

Addresses

Primary practice location

151 W 7TH Ave
Suite 310
Eugene, OR 97401-1100

Mailing address

389 N Polk St
Eugene, OR 97402-7101
Phone (541) 525-2398

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201404272RNORMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: anand.holthamkeathley.p1@direct.lanecounty.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1417483983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 N POLK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027101",
            "telephone_number": "541-525-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "541-525-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHAM-KEATHLEY",
        "first_name": "ANAND",
        "middle_name": "E. E.",
        "name_prefix": "Mr.",
        "credential": "RN., BSN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201404272RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.