Active NPI
Kathleen M Keys, PA-C
- Physician Assistant
- Somersworth, NH
National Provider Identifier
1457784704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0963
- Practice address
- 255 Route 108
Somersworth, NH 03878-1543 - Phone
- (603) 692-3166
- Fax
- (603) 692-3168
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0963 | NH | Primary |
Addresses
Primary practice location
255 Route 108
Somersworth, NH 03878-1543
Mailing address
200 Technology Dr
Hooksett, NH 03106-2504
Phone (603) 622-6484
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0963 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lrghealthcare | 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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Laconia, NH
- NPI 1922184928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1457784704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TECHNOLOGY DR",
"city": "HOOKSETT",
"state": "NH",
"postal_code": "031062504",
"telephone_number": "603-622-6484",
"fax_number": "603-647-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781543",
"telephone_number": "603-692-3166",
"fax_number": "603-692-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.