Individual provider Active NPI

Kelly A Kean, ARNP

  • Family Nurse Practitioner
  • North Hampton, NH
National Provider Identifier
1689620916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
033294-21 Issued in NH
Practice address
65 Lafayette Rd
Second Floor
North Hampton, NH 03862-2480
Phone
(603) 964-3392
Fax
(603) 964-3396
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 033294-21 NH Primary

Addresses

Primary practice location

65 Lafayette Rd
Second Floor
North Hampton, NH 03862-2480

Mailing address

71 Little River Rd
Hampton, NH 03842-1427
Phone (603) 964-3392

Other identifiers 4

IdentifierTypeStateIssuer
30342746MedicaidNH
403160099MedicaidME
000366111MedicaidMA
40Y005383NH01OtherNHANTHEM BLUECROSS

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
033294-21NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Family Practice PA Family PastSince Sep 19, 2018 Accepting new patients
Living in Balance Health Center, P.a. Family PastSince Nov 8, 2007 Accepting new patients
The Knee Hip & Shoulder Center PastSince Apr 1, 2003 Accepting new patients
Pace Inc. Past Accepting new patients
Exeter Hampton Diagnostics, Inc Past Accepting new patients
Exeter Hampton Diagnostic, Inc Past Accepting new patients
Seacoast Gastroenterology Past Accepting new patients
Portsmouth Emergency Physicians PC Past Accepting new patients

Organizations & group practices 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689620916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LITTLE RIVER RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421427",
            "telephone_number": "603-964-3392",
            "fax_number": "603-964-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAFAYETTE RD",
            "address_2": "SECOND FLOOR",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622480",
            "telephone_number": "603-964-3392",
            "fax_number": "603-964-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAN",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "033294-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342746",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403160099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000366111",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS",
            "identifier": "40Y005383NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.