Kristin L Keen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 5503 Issued in FL

Practice address

900 University Blvd N
Suite 606
Jacksonville, FL 32211-9203

Phone

(904) 253-1170

NPI assigned

Jun 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin L Keen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1649406885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3894 VALENCIA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNIVERSITY BLVD N",
            "address_2": "SUITE 606",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322119203",
            "telephone_number": "904-253-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KEEN",
            "middle_name": "L",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Catriona Keel
• Cortney L Keeley, PA-C
• Brett Haston Keeling, M.D.
• James Keeling, MD
• Jennifer Keen, MD
• Loni Amanda Keen, RRT
• Benjamin James Keenan, FNP-BC
• Bryan Keenan, MD
• Kimberly Ann Keenan, MD
• Robert Keenan, M.D.

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.