Kimberly Davis Keith, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9601644 Issued in NC

Practice address

2808 S Croatan Hwy
Ste C-1
Nags Head, NC 27959-9024

Phone

(252) 449-5500

Fax

(252) 449-5501

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkeith124196@soc.inova.org
• Direct secure messaging: kkeith124196@valleyhealth.direct-ci.com

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.

• Hampshire Memorial Hospital, Inc.

  • Critical Access Hospital
  • Romney, WV
  • NPI 1396897203
  Medicare reassignment NPD
• Hampshire Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Romney, WV
  • NPI 1881735660
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment NPD
• War Memorial Hospital Inc

  • Internal Medicine Physician
  • Berkeley Springs, WV
  • NPI 1780904961
  Medicare reassignment NPD
• Warren Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD
• War Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Hancock, MD
  • NPI 1467501692
  NPD
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  NPD
• Emergency Physicians of Tidewater

  • Emergency Medicine Physician
  • Norfolk, VA
  • NPI 1033136841
  NPD (past)
• Shenandoah Memorial Hospital, Inc.

  • Surgery Physician
  • Woodstock, VA
  • NPI 1407357015
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1619961836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1976",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279591976",
            "telephone_number": "252-449-5500",
            "fax_number": "252-449-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S CROATAN HWY",
            "address_2": "STE C-1",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599024",
            "telephone_number": "252-449-5500",
            "fax_number": "252-449-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KIMBERLY",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9601644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891004Q",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeith124196@soc.inova.org",
            "affiliation": "N",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeith124196@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeith124196@soc.inova.org",
            "affiliation": "N",
            "address_1": "755 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Thomas Jenkins, MD
• Sherri Leh Jenkins, LCMHC, LCAS
• Patricia Ann Johnson, F.N.P., C.N.M.
• Rachel Stanford Johnson, PA-C
• Joseph G Keenan, MD
• Whitney Celeste Kelbaugh, LCSWA
• Philip A Keller, P.A.
• Sarah Kristine Kershner, FNP
• Marci E Lait, MD
• Lori Ann Lancsek

• Emergency Medicine Physician in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.

Verify at the official NPI Registry.