Active NPI
Carroll Anne Keith, RN
- Registered Nurse
- Memphis, TN
National Provider Identifier
1508007972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0000158915
- Practice address
- 1211 Union Ave
Memphis, TN 38104-6638 - Phone
- (901) 516-7000
- NPI assigned
- Mar 16, 2009
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 156388 | TN | |
| Registered Nurse | 163W00000X | RN0000158915 | TN | Primary |
Addresses
Primary practice location
1211 Union Ave
Memphis, TN 38104-6638
Mailing address
3994 Argonne St
Memphis, TN 38127-3906
Phone (901) 212-3662
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156388 | TN | MD | Paramedic |
| RN0000158915 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1508007972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3994 ARGONNE ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381273906",
"telephone_number": "901-212-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046638",
"telephone_number": "901-516-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "CARROLL",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "TN",
"license": "156388",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000158915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.