Active NPI
Emily Anne Keone, CCM
- Substance Abuse Rehabilitation Facility
- Park City, UT
National Provider Identifier
1649089954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Practice address
- 241 Highland Dr
Park City, UT 84098-6405 - Phone
- (801) 865-9266
- NPI assigned
- Jan 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | UT | Primary |
Addresses
Primary practice location
241 Highland Dr
Park City, UT 84098-6405
Mailing address
241 Highland Dr
Park City, UT 84098-6405
Phone (801) 865-9266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F24-116349 | Other | UT | BEHAVIORAL HEALTH CASE MANAGEMENT CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1649089954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 HIGHLAND DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986405",
"telephone_number": "801-865-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 HIGHLAND DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986405",
"telephone_number": "801-865-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEONE",
"first_name": "EMILY",
"middle_name": "ANNE",
"credential": "CCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-01",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH CASE MANAGEMENT CERTIFICATE",
"identifier": "F24-116349",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.