Active NPI
Renee Marie Keene, NP-C
- Family Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1609407394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013829
- Practice address
- 1111 Columbus St
Bakersfield, CA 93305-1936 - Phone
- (661) 326-2800
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013829 | CA | Primary |
Addresses
Primary practice location
1111 Columbus St
Bakersfield, CA 93305-1936
Mailing address
13104 Sunlight Star St
Bakersfield, CA 93314-8478
Phone (661) 304-2899
Other names 1
- Renee Marie Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | cerner | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201001003358 | CA | Practitioner - Nurse Practitioner | 4587083068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1609407394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13104 SUNLIGHT STAR ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933148478",
"telephone_number": "661-304-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 COLUMBUS ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933051936",
"telephone_number": "661-326-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "RENEE",
"middle_name": "MARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "cerner",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1111 Columbus St",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933051936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RENEE",
"last_name": "JOHNSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.