Kristen L Keys, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102751 Issued in FL

Practice address

7051 Seacrest Blvd
Lantana, FL 33462-5139

Phone

(561) 296-5288

Fax

(561) 296-5287

NPI assigned

Apr 10, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• District Clinic Holdings Inc

  • Federally Qualified Health Center (FQHC)
  • Belle Glade, FL
  • NPI 1124373113
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1457617862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CHURCHILL CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144320",
            "telephone_number": "561-312-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SEACREST BLVD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334625139",
            "telephone_number": "561-296-5288",
            "fax_number": "561-296-5287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Lake Worth Rd",
            "address_2": "#103",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334634727",
            "country_code": "US",
            "telephone_number": "561-649-7532",
            "fax_number": "561-649-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYS",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102751",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA9102751",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hina Kamal, PMHNP-BC
• Karamco LLC
• Karen Lillian Bishop (Advanced Practice Associates)
• Susan Kelly
• Kristin Dru Kerr, M.D.
• Humberto A Kim Enriquez
• Nancy Ruth Kip
• Robert Charles Knapp
• Carla Leonor Kniznik, DDS
• Kwame Kyerematen-Afrani

• Physician Assistant in Lantana, FL
• Providers in Lantana, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.