Eileen Long Keegan, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71002788 Issued in IN

Practice address

2305 Green Valley Rd
New Albany, IN 47150-4649

Phone

(812) 949-0405

Fax

(812) 949-0445

NPI assigned

Jul 1, 2005

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nassim and Associates, PSC

  • Specialist
  • New Albany, IN
  • NPI 1710034293
  NPD (past)
• Bardstown Primary Care, PLLC

  • Rural Health Clinic/Center
  • Springfield, KY
  • NPI 1639654809
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1528065760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504649",
            "telephone_number": "812-949-0405",
            "fax_number": "812-949-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504649",
            "telephone_number": "812-949-0405",
            "fax_number": "812-949-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "EILEEN",
        "middle_name": "LONG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71002788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Lee Kaminskas, LCSW
• Kane Chiropractic PSC
• Douglas T Kane, DC
• Mohammad Walid Kassem, MD, MBA
• Erin Kearney, RDN
• Celina Burchett Keehan, DMD
• Therese Marie Keeling, MD
• Laura Keinsley, MA CCC-SLP
• Chelsea Z Kellams, APRN
• Nathan Keller

• All providers in New Albany, IN
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.