Active NPI
Jaron Keough, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Pawtucket, RI
National Provider Identifier
1477197820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN02309
- Practice address
- 232 Pawtucket Ave Apt 1
Pawtucket, RI 02860-5169 - Phone
- (401) 710-1200
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN56293 | RI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN02309 | RI | Primary |
Addresses
Primary practice location
232 Pawtucket Ave Apt 1
Pawtucket, RI 02860-5169
Mailing address
24 Burke St
Pawtucket, RI 02861-1918
Phone (401) 710-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02309 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN56293 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Single Specialty | Current | Accepting new patients |
Locations
75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778
75 Lambert Lind Hwy
Ste 120100
Warwick, RI 02886
Phone (401) 681-4274
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": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1477197820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BURKE ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028611918",
"telephone_number": "401-710-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 PAWTUCKET AVE APT 1",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605169",
"telephone_number": "401-710-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOUGH",
"first_name": "JARON",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "RN56293",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN02309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.