Active NPI
Meghan Keady, NP-C
- Family Nurse Practitioner
- Providence, RI
National Provider Identifier
1669948659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN01956
- Practice address
- 593 Eddy Street
Providence, RI 02903 - Phone
- (401) 444-6195
- Fax
- (401) 444-6378
- NPI assigned
- Oct 17, 2018
- 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 | RN2318576 | MA | |
| Family Nurse Practitioner | 363LF0000X | APRN01956 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street
Providence, RI 02903
Mailing address
117 Ellenfield Street Suite 101
Providence, RI 02905-4513
Phone (401) 444-6779
Other practice location 1
5 Pacella Park Dr Apt 5414
Randolph, MA 02368-1792
Phone (774) 266-3937
Other practice location 2
245 Chapman Street Suite 100
Providence, RI 02905-1792
Phone (401) 444-6118
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2318576 | MA | MD | Family Nurse Practitioner |
| APRN01956 | RI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1669948659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD STREET SUITE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054513",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-6195",
"fax_number": "401-444-6378"
}
],
"practiceLocations": [
{
"address_1": "5 Pacella Park Dr Apt 5414",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023681792",
"country_code": "US",
"telephone_number": "774-266-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Chapman Street Suite 100",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029051792",
"country_code": "US",
"telephone_number": "401-444-6118",
"fax_number": "401-444-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEADY",
"first_name": "MEGHAN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2318576",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.