Greta Louise Keys, FNP-BC

Key facts

NPI

1497762256

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

R843927 (MS)

Practice address

332 E Monticello St
Brookhaven, MS 39601-3430

Phone

(601) 833-3500

Fax

(601) 292-6384

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• The Healthkey Clinic, LLC Family Nurse Practitioner · Silver Creek, MS · NPI 1679866990
  Medicare reassignment NPD Authorized official MS · PRIMARY CARE
• Bonita C. Musial Family Medicine Physician · Monticello, MS · NPI 1144370552
  NPD (past)
• Gulfport Emergency Physicians Emergency Medicine Physician · Gulfport, MS · NPI 1467400887
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Ms. Greta L Williams Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2017.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1497762256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E MONTICELLO ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013430",
            "telephone_number": "601-833-3500",
            "fax_number": "601-292-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E MONTICELLO ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013430",
            "telephone_number": "601-833-3500",
            "fax_number": "601-292-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "GRETA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R843927",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04187246",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2014619",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00823061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "WILLIAMS",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Charles A Kergosien, M.D.
• Kembe Keys
• Holly L Kimbrell, CFNP
• Sarah Kathryn Kimes
• Kindness Healthcare Services LLC
• Jaci King

All providers in Brookhaven, MS · Family Nurse Practitioner in Mississippi