Individual provider Active NPI

Emily Keeter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Smyrna, TN
National Provider Identifier
1699208850
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM898 Issued in TN
Practice address
693 President PL Ste 103
Smyrna, TN 37167-8601
Phone
(615) 220-8788
Fax
(615) 220-8688
NPI assigned
Apr 5, 2017
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X POD433 NM
Foot & Ankle Surgery Podiatrist 213ES0103X DPM898 TN Primary

Addresses

Primary practice location

693 President PL Ste 103
Smyrna, TN 37167-8601

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

2301 Indian Wells Rd Ste A
Alamogordo, NM 88310-4611
Phone (575) 434-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200522002584 NM Practitioner - Podiatry 0941621221 Reassigns benefits to 1 organization
I20210805003275 TN Practitioner - Podiatry 0941621221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

693 President PL
Suite 103
Smyrna, TN 37167-8601
Phone (615) 229-6174

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue68
Removal of skin lesions32
Removal of nail tissue203
Removal or shaving of skin growth75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD433NMMDFoot & Ankle Surgery Podiatrist
DPM898TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 28, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 28, 2021 Accepting new patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639

2951 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (575) 434-0639

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

693 President Pl
Ste 103
Smyrna, TN 37167
Phone (615) 223-6900

Interoperability endpoints

  • Direct secure messaging: emily.keeter@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1699208850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 PRESIDENT PL STE 103",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678601",
            "telephone_number": "615-220-8788",
            "fax_number": "615-220-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Indian Wells Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104611",
            "country_code": "US",
            "telephone_number": "575-434-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETER",
        "first_name": "EMILY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD433",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.