Organization Active NPI

Keys2Health LLC

  • Adult Health Nurse Practitioner
  • Largo, FL
National Provider Identifier
1558970822
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
KEYS2HEALTH LLC
Practice address
1050 Starkeyrd. Unit 606
Largo, FL 33771
Phone
(727) 421-9421
Fax
(866) 451-4607
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Lauren C Endick, APRNNPI 1093016784
Title
Owner
Phone
(727) 421-9421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

1050 Starkeyrd. Unit 606
Largo, FL 33771

Mailing address

1050 Starkeyrd. Unit 606
Largo, FL 33771
Phone (727) 421-9421

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clearwater Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200818002464 FL Part B Supplier - Clinic/Group Practice 2961828108 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL; Zephryhills, FL; Zephyrhills, FL; Hudson, FL; Brooksville, FL; Clearwater, FL; Dade City, FL; Holiday, FL

National Provider Directory

National Provider Directory

Locations

2331 Pembrook Dr
Clearwater, FL 33764
Phone (727) 536-5865

7350 Dairy Rd
Zephyrhills, FL 33540
Phone (813) 715-7526

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1558970822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 STARKEYRD. UNIT 606",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-421-9421",
            "fax_number": "866-451-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 STARKEYRD. UNIT 606",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-421-9421",
            "fax_number": "866-451-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS2HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "ENDICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-421-9421",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clearwater",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1050 StarkeyRd. Unit 606",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.