Active NPI
Jennifer McKeown, APRN
- Family Nurse Practitioner
- Irmo, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26159
- Practice address
- 7182 Woodrow St Ste 200
Irmo, SC 29063-2958 - Phone
- (803) 749-1111
- Fax
- (803) 749-1111
- NPI assigned
- Apr 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 00000 | SC | |
| Family Nurse Practitioner | 363LF0000X | 26159 | SC | Primary |
Addresses
Primary practice location
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Mailing address
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone (803) 749-1111
Other practice location 1
7021 Saint Andrews Rd Ste 200
Columbia, SC 29212-1177
Phone (803) 749-1111
Other practice location 2
1 Wellness Blvd Ste 202
Irmo, SC 29063-2873
Phone (803) 749-1111
Other practice location 3
1 Wellness Blvd Ste 104
Irmo, SC 29063-2872
Phone (803) 749-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80913 | Other | SC | RN- R |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7182 Woodrow St
Suite 200
Irmo, SC 29063-2832
Phone (803) 749-1111
Hospital & facility affiliations
- Medical Services of America Home Health
- Interim Healthcare of the Upstate
- Lexington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | SC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Internal Medicine Associates and Rehabilitation,L.L.C. | Current | Accepting new patients |
Locations
7021 Saint Andrews Rd
#2
Columbia, SC 29212
Phone (803) 749-1111
7021 Saint Andrews Rd
Ste 200
Columbia, SC 29212
Phone (803) 749-1111
1901 Main St
#1105
Columbia, SC 29201
1 Wellness Blvd
Ste 109
Irmo, SC 29063
Phone (803) 749-1111
1 Wellness Blvd
Ste 104
Irmo, SC 29063
Phone (803) 227-4844
1 Wellness Blvd
Ste 202
Irmo, SC 29063
Phone (803) 470-7040
7182 Woodrow St
Ste 200
Irmo, SC 29063
Phone (803) 749-1111
Interoperability endpoints
- jmckeown597402@direct.ghs.myhfn.org
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.
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1760483382
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1750897609
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
-
- Home Health Agency
- Irmo, SC
- NPI 1689626608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1649914151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7182 WOODROW ST STE 200",
"city": "IRMO",
"state": "SC",
"postal_code": "290632958",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7182 WOODROW ST STE 200",
"city": "IRMO",
"state": "SC",
"postal_code": "290632958",
"telephone_number": "803-749-1111",
"fax_number": "803-749-1111"
}
],
"practiceLocations": [
{
"address_1": "7021 Saint Andrews Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121177",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wellness Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632873",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wellness Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632872",
"country_code": "US",
"telephone_number": "803-749-1111",
"fax_number": "803-749-0050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEOWN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "00000",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "26159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN- R",
"identifier": "80913",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.