Individual provider Active NPI

Keetra Kearns

  • Community Health Worker
  • Oklahoma City, OK
National Provider Identifier
1659008308
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1731 W Palm PL
Oklahoma City, OK 73128-7006
Phone
(405) 754-9343
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X OK Primary

Addresses

Primary practice location

1731 W Palm PL
Oklahoma City, OK 73128-7006

Mailing address

1731 W Palm PL
Oklahoma City, OK 73128-7006
Phone (405) 754-9343

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Touchedbyanangelokc@gmail.com Health Information Exchange (HIE)
CONNECT URL Touchedbyanangelllc.org Direct
CONNECT URL Touchedbyanangelllc.org Health Information Exchange (HIE)

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1659008308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 W PALM PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731287006",
            "telephone_number": "405-754-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W PALM PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731287006",
            "telephone_number": "405-754-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "KEETRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Touchedbyanangelokc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email checked daily",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "The actual business will take place at the clients house",
            "address_1": "1731 W Palm Pl",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731287006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Touchedbyanangelllc.org",
            "affiliation": "N",
            "endpointDescription": "Business website with messaging system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1731 W Palm Pl",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731287006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Touchedbyanangelllc.org",
            "affiliation": "N",
            "endpointDescription": "Business location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Touchedbyanangel@gmail.com",
            "address_1": "1731 W Palm Pl",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731287006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.