Patrick G Keebey, RN, MBA

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

135651 Issued in MO

Practice address

1974 Lake Forest Cir
Pagosa Springs, CO 81147-9392

Phone

(573) 308-2708

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Nurse

State licenses

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1649804758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 LAKE FOREST CIR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479392",
            "telephone_number": "573-308-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 LAKE FOREST CIR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479392",
            "telephone_number": "573-308-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEBEY",
        "first_name": "PATRICK",
        "middle_name": "G",
        "credential": "RN, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "135651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrinne E. Johnson, PA-C
• Joni Jill Jones, RDH
• William McCall Jordan, DO
• Danielle Marie Kahn, APRN
• Kathleenlallenmalpcllc
• Kevin James Kelly, PH.D.
• Raj Inder Kaur Khalsa, MSN
• King Campbell, D.D.S., P.L.L.C.
• Michael L Kloep, M.D.
• James Lyle Knoll III, M.D.

• General Practice Registered Nurse in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• General Practice Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.