Active NPI
Carynne Keyes
- Speech-Language Pathologist
- Nantucket, MA
National Provider Identifier
1467788554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8082
- Practice address
- 125 Orange St
Nantucket, MA 02554-4028 - Phone
- (508) 648-8348
- Fax
- (508) 648-8348
- NPI assigned
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8082 | MA | Primary |
Addresses
Primary practice location
125 Orange St
Nantucket, MA 02554-4028
Mailing address
125 Orange St
Nantucket, MA 02554-4028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031240 | Other | MA | MEDICARE PTAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1467788554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ORANGE ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ORANGE ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544028",
"telephone_number": "508-648-8348",
"fax_number": "508-648-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYES",
"first_name": "CARYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0031240",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.