Individual provider Active NPI

Meaghan Keenan

  • Specialist
  • Bronx, NY
National Provider Identifier
1427748052
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2641148 Issued in NY
Practice address
933B Morris Park Ave
Bronx, NY 10462-3711
Phone
(917) 701-7375
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2641148 NY Primary

Addresses

Primary practice location

933B Morris Park Ave
Bronx, NY 10462-3711

Mailing address

6820 Selfridge St Apt 3B
Forest Hills, NY 11375-5702
Phone (917) 331-4670

Other practice location 1

33 Ann St
Ossining, NY 10562-3209
Phone (929) 989-6305

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

State licenses

LicenseStateTypeSpecialty
2641148NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
We Blossom Therapeutic Services LLC PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1427748052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 SELFRIDGE ST APT 3B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755702",
            "telephone_number": "917-331-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933B MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623711",
            "telephone_number": "917-701-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Ann St",
            "address_purpose": "LOCATION",
            "city": "Ossining",
            "state": "NY",
            "postal_code": "105623209",
            "country_code": "US",
            "telephone_number": "929-989-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "MEAGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2641148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.