Individual provider Active NPI

Kathleen M McKeever, MSN-FNP

  • Family Nurse Practitioner
  • Richboro, PA
National Provider Identifier
1659898617
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026342 Issued in PA
Practice address
1034 Second Street Pike
Richboro, PA 18954-1863
Phone
(866) 389-2727
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175085 VA
Family Nurse Practitioner 363LF0000X SP026342 PA Primary

Addresses

Primary practice location

1034 Second Street Pike
Richboro, PA 18954-1863

Mailing address

5652 Pickwick Road
Centreville, VA 20120
Phone (703) 631-9440

Other practice location 1

5652 Pickwick Rd
Centreville, VA 20120-2057
Phone (703) 631-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171113001245 DC Practitioner - Nurse Practitioner 5991061632 Reassigns benefits to 1 organization
I20171117001454 VA Practitioner - Nurse Practitioner 5991061632 Reassigns benefits to 1 organization
I20230926002804 PA Practitioner - Nurse Practitioner 5991061632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 22, 2017 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Aug 17, 2023 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

1034 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-4060

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

5652 Pickwick Rd
Centreville, VA 20120
Phone (703) 629-2115

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1659898617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 PICKWICK ROAD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20120",
            "telephone_number": "703-631-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SECOND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541863",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5652 Pickwick Rd",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201202057",
            "country_code": "US",
            "telephone_number": "703-631-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.