NPIMap

Organization Active NPI

Keith & Associates, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Tulsa, OK
National Provider Identifier
1609061332
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
KEITH & ASSOCIATES, INC
Practice address
115 W 3Rd St Ste 800
Tulsa, OK 74103-3421
Phone
(918) 585-3045
Fax
(918) 585-3047
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Sandra Keith, MPH RD/LDNPI 1093784233
Title
President
Phone
(918) 585-3045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 611 OK
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

115 W 3Rd St Ste 800
Tulsa, OK 74103-3421

Mailing address

115 W 3Rd St Ste 800
Tulsa, OK 74103-3421
Phone (918) 585-3045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000520 OK Part B Supplier - Clinic/Group Practice 2860535374 Receives reassigned benefits from 4 practitioners
Practice locations: Tulsa, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Keith Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 W 3rd St
Ste 800
Tulsa, OK 74103
Phone (918) 585-3045

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1609061332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033421",
            "telephone_number": "918-585-3045",
            "fax_number": "918-585-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 3RD ST STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741033421",
            "telephone_number": "918-585-3045",
            "fax_number": "918-585-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-585-3045",
        "authorized_official_credential": "MPH RD/LD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "611",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.