Tynae Dominique Keith

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

37183601 Issued in PA

Practice address

5814 Pine St
Philadelphia, PA 19143-1218

Phone

(267) 504-2464

Fax

(267) 292-4893

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1699252536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431218",
            "telephone_number": "267-504-2464",
            "fax_number": "267-292-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431218",
            "telephone_number": "267-504-2464",
            "fax_number": "267-292-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "TYNAE",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "37183601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca N Keiser, LCSW
• Massa Keita
• Mohamed Keita
• Allison Bright Keiter, MSED, LPC, NCC
• Sara Anne Keith
• Keiths Legacy Home Care LLC
• Janet Adeola Korede Keku-Lewis, MD
• Elaine Kelbick, MD
• Jelte Kelchtermans, M.D.
• Ellie Kelepouris, MD

• Home Health Aide in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.