Active NPI
Katie Keil, FNP-C
- Family Nurse Practitioner
- Maumee, OH
National Provider Identifier
1689284911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0038946
- Practice address
- 625 Gibbs St
Maumee, OH 43537-2801 - Phone
- (419) 615-6120
- NPI assigned
- Aug 2, 2020
- 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 | 226575 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 0038946 | OH | Primary |
Addresses
Primary practice location
625 Gibbs St
Maumee, OH 43537-2801
Mailing address
625 Gibbs St
Maumee, OH 43537-2801
Other practice location 1
1061 N Dobson Rd Ste 107
Mesa, AZ 85201-7576
Phone (602) 237-5631
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226575 | AZ | MD | Family Nurse Practitioner |
| 0038946 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1689284911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 GIBBS ST",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 GIBBS ST",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372801",
"telephone_number": "419-615-6120"
}
],
"practiceLocations": [
{
"address_1": "1061 N Dobson Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852017576",
"country_code": "US",
"telephone_number": "602-237-5631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEIL",
"first_name": "KATIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-02",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "226575",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0038946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.