Individual provider Active NPI

C Lynn M Keene, M.D.

  • Obstetrics & Gynecology Physician
  • Roanoke, VA
National Provider Identifier
1598789224
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101045011 Issued in VA
Practice address
21 Highland Ave SE
Ste 200
Roanoke, VA 24013-2201
Phone
(540) 982-8881
Fax
(540) 982-0501
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101045011 VA Primary

Addresses

Primary practice location

21 Highland Ave SE
Ste 200
Roanoke, VA 24013-2201

Mailing address

21 Highland Ave SE
Ste 200
Roanoke, VA 24013-2201
Phone (540) 982-8881

Other identifiers 1

IdentifierTypeStateIssuer
6216064MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000537 VA Practitioner - Obstetrics/Gynecology 7517136922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1598789224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-982-8881",
            "fax_number": "540-982-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-982-8881",
            "fax_number": "540-982-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "C LYNN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101045011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6216064",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.