Active NPI
Nichole Lynn-Muri Keagy, LAT, ATC
- Athletic Trainer
- Duncansville, PA
National Provider Identifier
1598301012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004113
- Practice address
- 16422 Dunnings Hwy
Duncansville, PA 16635-5331 - Phone
- (814) 695-4284
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004113 | PA | Primary |
Addresses
Primary practice location
16422 Dunnings Hwy
Duncansville, PA 16635-5331
Mailing address
16422 Dunnings Hwy
Duncansville, PA 16635-5331
Phone (814) 695-4284
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004113 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1598301012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16422 DUNNINGS HWY",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166355331",
"telephone_number": "814-695-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16422 DUNNINGS HWY",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166355331",
"telephone_number": "814-695-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAGY",
"first_name": "NICHOLE",
"middle_name": "LYNN-MURI",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncansville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.