Active NPI
Alexis Keen, PA-C
- Physician Assistant
- Goodlettsville, TN
National Provider Identifier
1457834590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 201 Bluebird Dr
Goodlettsville, TN 37072-2301 - Phone
- (615) 859-7546
- Fax
- (615) 851-7760
- NPI assigned
- Sep 14, 2018
- 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 | TN | Primary |
Addresses
Primary practice location
201 Bluebird Dr
Goodlettsville, TN 37072-2301
Mailing address
1487A Woodmont Blvd
Nashville, TN 37215-1629
Phone (865) 406-1301
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3745 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1457834590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1487A WOODMONT BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372151629",
"telephone_number": "865-406-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BLUEBIRD DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722301",
"telephone_number": "615-859-7546",
"fax_number": "615-851-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.