Individual provider Active NPI

Nicole Lyn Keith

  • Occupational Therapist
  • Westminster, MD
National Provider Identifier
1457840209
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07679 Issued in MD
Practice address
904 Washington Rd Ste F
Westminster, MD 21157-5838
Phone
(410) 871-2990
Fax
(443) 293-8703
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07679 MD Primary

Addresses

Primary practice location

904 Washington Rd Ste F
Westminster, MD 21157-5838

Mailing address

904 Washington Rd Ste F
Westminster, MD 21157-5838
Phone (410) 871-2990

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

LicenseStateTypeSpecialty
07679MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankly Communicating, Inc Occupational Therapist CurrentSince May 22, 2018 Accepting new patients

Locations

12442 Owings Mills Blvd
Reisterstown, MD 21136
Phone (410) 871-2990

904 Washington Rd
Ste F
Westminster, MD 21157
Phone (410) 871-2990

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1457840209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE F",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838",
            "telephone_number": "410-871-2990",
            "fax_number": "443-293-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON RD STE F",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575838",
            "telephone_number": "410-871-2990",
            "fax_number": "443-293-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.