Keith Mank

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

585 Roosevelt TRL
Windham, ME 04062-4908

Phone

(207) 200-7508

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1497431688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624908",
            "telephone_number": "207-200-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624908",
            "telephone_number": "207-200-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANK",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovely Loveless, RDH
• Elisabeth Lucretia Lovin, LCPCC
• Christine R Mahoney, DO
• Maine Medical Partners (Maine Medical Partners Lakes Region Primary Care)
• Mainehealth
• Gary Manzo
• Laura Marass
• Virginia Anne March, LMT
• Heather M Marichal
• Hannah Marshall

• Health & Wellness Coach in Windham, ME
• Providers in Windham, ME by specialty
• Health & Wellness Coach in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.