Nicole Keehn, RN, MS(N), PSYD, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36816 Issued in TX

Practice address

508 Grace St
Waxahachie, TX 75165-3046

Phone

(972) 923-0730

Fax

(972) 923-3886

NPI assigned

Jul 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Lokahi Life Center PLLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1477924629
  NPD

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1457767956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GRACE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653046",
            "telephone_number": "972-923-0730",
            "fax_number": "972-923-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GRACE ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653046",
            "telephone_number": "972-923-0730",
            "fax_number": "972-923-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEHN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "RN, MS(N), PSYD, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36816",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "546040",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kare Family Clinic
• Kare Transportation LLC
• Ramon Paul Kare, M.D.
• Jill Karg, MS.,CCC-SLP
• Harman Preet Kaur, MD
• Timothy John Kelly, M.D.
• Abby Kelso, MS. CCC-SLP
• Cynthia Allison Kemp, M.S., CCC-SLP
• Richard Galen Kemp, MD
• Shelly Ann Keough, APRN-CNP, FNP-C

• Clinical Psychologist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.