Individual provider Active NPI

Keisha Monice Vilsaint, PNP

  • Pediatric Nurse Practitioner
  • Indian Head, MD
National Provider Identifier
1700192531
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R164209 Issued in MD
Practice address
4202 Indian Head Highway
Indian Head, MD 20640-3306
Phone
(301) 944-1087
Fax
(301) 220-6329
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R164209 MD Primary

Addresses

Primary practice location

4202 Indian Head Highway
Indian Head, MD 20640-3306

Mailing address

4202 Indian Head Highway
Dr. Chinnadurai Devadason School Based Health Center
Indian Head, MD 20640
Phone (301) 944-1087

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

LicenseStateTypeSpecialty
R164209MDMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1700192531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 INDIAN HEAD HIGHWAY",
            "address_2": "DR. CHINNADURAI DEVADASON SCHOOL BASED HEALTH CENTER",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "20640",
            "telephone_number": "301-944-1087",
            "fax_number": "301-220-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 INDIAN HEAD HIGHWAY",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "206403306",
            "telephone_number": "301-944-1087",
            "fax_number": "301-220-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILSAINT",
        "first_name": "KEISHA",
        "middle_name": "MONICE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R164209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Head, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.