Active NPI
Keinosha Shantez Keaton
- Social Worker
- Greenville, SC
National Provider Identifier
1447411343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 22 Pleasant Ridge Ave
Greenville, SC 29605-2112 - Phone
- (214) 601-6208
- NPI assigned
- Jun 23, 2008
- Last updated
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
22 Pleasant Ridge Ave
Greenville, SC 29605-2112
Mailing address
22 Pleasant Ridge Ave
Greenville, SC 29605
Phone (214) 601-6208
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Child's Bright Start | Social Worker | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1447411343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PLEASANT RIDGE AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "214-601-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PLEASANT RIDGE AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052112",
"telephone_number": "214-601-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATON",
"first_name": "KEINOSHA",
"middle_name": "SHANTEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.