Kathleen Keen

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

R051556 Issued in MD

Practice address

414 Bourbon St
Havre de Grace, MD 21078-3104

Phone

(410) 939-0565

NPI assigned

Apr 7, 2007

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

Other names 1

• Kathy Keen Other name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700909660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BOURBON ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783104",
            "telephone_number": "410-939-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BOURBON ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783104",
            "telephone_number": "410-939-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MD",
            "license": "R051556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "KEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jil Home Health Services, LLC
• Joshua N Aaron MD PA
• Aarthi R Jude, O.D.
• Joanne I Kassimir, OTR, CHT
• Gerri Renee Kearns, PTA
• Taylor Ann Keeton, RN
• Rhetta Judith Kerfoot, RDH
• Heather Gould Kerr, LCSW-C
• Julia Kilduff, LGSW
• David Daewon Kim, DDS

• Neonatal Nurse Practitioner in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Neonatal Nurse Practitioner in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.