Active NPI
Keyona Darje' Jeter, FNP-BC
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1619633559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348604
- Practice address
- 241 W 57TH St
New York, NY 10019-2121 - Phone
- (212) 547-5848
- NPI assigned
- Nov 15, 2021
- 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 | F348604 | NY | Primary |
Addresses
Primary practice location
241 W 57TH St
New York, NY 10019-2121
Mailing address
241 W 57TH St
New York, NY 10019-2121
Phone (212) 247-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F348604 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Medical Care PC | Current | Accepting new patients |
Locations
17811 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 729-7282
177 Dyckman St
New York, NY 10040
Phone (212) 544-0023
175 Route 59
Spring Valley, NY 10977
Phone (845) 352-6800
Interoperability endpoints
- keyona.jeter.1@14883.direct.athenahealth.com
- keyona.sanders.1@24989.direct.athenahealth.com
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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1619599578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1619633559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192121",
"telephone_number": "212-247-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192121",
"telephone_number": "212-547-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "KEYONA",
"middle_name": "DARJE'",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F348604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.