Active NPI
Keely Power
- Neonatal Nurse Practitioner
- Dover, NH
National Provider Identifier
1477815264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 077071-23
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 740-2263
- Fax
- (603) 740-2402
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024170073 | VA | |
| Neonatal Nurse Practitioner | 363LN0000X | 077071-23 | NH | Primary |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
PO Box 412503
Boston, MA 02241-2503
Phone (603) 740-2413
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3111473 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Past | Accepting new patients |
Locations
789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
Interoperability endpoints
- power.keely.wdh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Addiction (Substance Use Disorder) Counselor
- Dover, NH
- NPI 1710504683
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1477815264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412503",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412503",
"telephone_number": "603-740-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2263",
"fax_number": "603-740-2402"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-2335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWER",
"first_name": "KEELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024170073",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NH",
"license": "077071-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3111473",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.