Active NPI
Keri Ann E. Flanagan, NNP
- Neonatal Nurse Practitioner
- Newark, DE
National Provider Identifier
1619341328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- LM-0000162
- Practice address
- 4745 Ogletown Stanton Rd
Map 1, Suite 217
Newark, DE 19713-2067 - Phone
- (302) 733-4387
- Fax
- (302) 733-4252
- NPI assigned
- Nov 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0045750 | DE | |
| Neonatal Nurse Practitioner | 363LN0000X | LM-0000162 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd
Map 1, Suite 217
Newark, DE 19713-2067
Mailing address
200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0045750 | DE | MD | Registered Nurse |
| LM-0000162 | DE | MD | Neonatal Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1619341328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "MAP 1, SUITE 217",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-733-4387",
"fax_number": "302-733-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "KERI ANN",
"middle_name": "E.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0045750",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "DE",
"license": "LM-0000162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- John T Fitzpatrick II
- Mary E. Fitzpatrick, MSN, ANP-BC
- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Somerford Newark)
- Brienne Morelle Flagg, DMD
- John M Flaherty, PHARMD
- Kevin Andrew Flanigan, ATC
- Caitlin Marie Flatley, LAT, ATC
- Barbara J Fleck, CNM, IBCLC
- Justin Fleegle, PA-C
- Jules R Fleischner, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.