Keena Rose Owen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

902274 Issued in MS

Practice address

2139 8TH St
Clarksdale, MS 38614-6207

Phone

(901) 649-1123

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1487149308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COUNTY ROAD 269",
            "city": "WOODLAND",
            "state": "MS",
            "postal_code": "397769617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 8TH ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146207",
            "telephone_number": "901-649-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KEENA",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MS",
            "license": "902274",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "902274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Miss Regional Medical Center (Northwest Mississippi Regional Medical Center)
• Northwest Mississippi Orthopaedic Clinic, P.a.
• Carolyn Oneida O'Conner, FNP
• One on One Care LLC
• Tiffany L Outlaw, M.ED.
• Pafford Air of Mississippi LLC
• Pafford Emergency Medical Services, Inc (Pafford Air One)
• Victor Pang, M.D.
• Jasmine Parker
• Linda D Payne, NP

• Registered Nurse in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.