Individual provider Active NPI

Daniel Allyn Keefe, R.N.

  • Administrator Registered Nurse
  • Jamestown, NY
National Provider Identifier
1467610733
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
265107-1 Issued in NY
Practice address
110 E 4TH St
Jamestown, NY 14701-5340
Phone
(716) 661-8111
Fax
(716) 661-8171
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 265107-1 NY Primary

Addresses

Primary practice location

110 E 4TH St
Jamestown, NY 14701-5340

Mailing address

110 E 4TH St
Jamestown, NY 14701-5340
Phone (716) 661-8111

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
265107-1NYMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc Past Accepting new patients
County of Chautauqua - a Mun Corp Past Accepting new patients

Organizations & group practices 2

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1467610733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015340",
            "telephone_number": "716-661-8111",
            "fax_number": "716-661-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015340",
            "telephone_number": "716-661-8111",
            "fax_number": "716-661-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "DANIEL",
        "middle_name": "ALLYN",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "265107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.