Individual provider Active NPI

Meredith Corwin Keet, RN, MS, WHNP

  • Women's Health Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1508049859
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
17275 Issued in CA
Practice address
250 Locust St
Santa Cruz, CA 95060-3813
Phone
(831) 427-3500
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 704670 CA
Women's Health Nurse Practitioner 363LW0102X 17275 CA Primary

Addresses

Primary practice location

250 Locust St
Santa Cruz, CA 95060-3813

Mailing address

625 Hilby Ave
Seaside, CA 93955-5720
Phone (831) 583-6702

Other practice location 1

625 Hilby Ave
Seaside, CA 93955-5720
Phone (831) 583-6702 ext. 6711

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
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
704670CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508049859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HILBY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555720",
            "telephone_number": "831-583-6702",
            "fax_number": "831-395-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOCUST ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603813",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Hilby Ave",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "CA",
            "postal_code": "939555720",
            "country_code": "US",
            "telephone_number": "831-583-6702 x6711",
            "fax_number": "831-395-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEET",
        "first_name": "MEREDITH",
        "middle_name": "CORWIN",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "704670",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.