Individual provider Active NPI

Christina Jane Keating, OCPRS

  • Peer Specialist
  • Cleveland, OH
National Provider Identifier
1477219178
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
0002720 Issued in OH
Practice address
2121 W 117TH St
Cleveland, OH 44111-1642
Phone
(216) 417-4831
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X 0002720 OH Primary

Addresses

Primary practice location

2121 W 117TH St
Cleveland, OH 44111-1642

Mailing address

2121 W 117TH St
Cleveland, OH 44111-1642
Phone (216) 417-4831

Other identifiers 1

IdentifierTypeStateIssuer
0002720OtherOHOMHAS

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

State licenses

LicenseStateTypeSpecialty
0002720OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
B. Riley Sober House Peer Specialist CurrentSince Nov 21, 2021 Accepting new patients
B. Riley Sober House CurrentSince May 21, 2023 Accepting new patients

Locations

2121 W 117th St
Cleveland, OH 44111
Phone (216) 417-4831

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1477219178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "CHRISTINA",
        "middle_name": "JANE",
        "credential": "OCPRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMHAS",
            "identifier": "0002720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.