Active NPI
Brandy Nichole Kenner Keefe, FNP-BC
- Family Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172784
- Practice address
- 830 Harrison Avenue
Suite 1400
Boston, MA 02118 - Phone
- (617) 638-8124
- Fax
- (617) 638-6424
- NPI assigned
- Jul 28, 2015
- Last updated
- May 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172784 | VA | Primary |
Addresses
Primary practice location
830 Harrison Avenue
Suite 1400
Boston, MA 02118
Mailing address
801 Albany St FL G
Boston, MA 02119-3791
Other names 1
- Brandy Nichole Kenner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 Harrison Ave
Suite 1400
Boston, MA 02118-2905
Phone (617) 638-8124
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172784 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Bumc Otolaryngologic Foundation, Inc. | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
Phone (617) 414-7399
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
801 Albany St
Fl G
Roxbury, MA 02119
Interoperability endpoints
- bkennerkeefe101279@direct.bmc.masshiway.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Boston, MA
- NPI 1942257159
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Transitional Care Center and Stabilization Care Center
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
dba South Boston Community Health Center
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Greater Roslindale Medical and Dental Center
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
dba East Boston Neighborhood Health Center
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1699150938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY ST FL G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARRISON AVENUE",
"address_2": "SUITE 1400",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8124",
"fax_number": "617-638-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNER KEEFE",
"first_name": "BRANDY",
"middle_name": "NICHOLE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "KENNER",
"middle_name": "NICHOLE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.