Individual provider Active NPI

Casey Keegan, DNP, APN, FNP-C

  • Family Nurse Practitioner
  • Ridgewood, NJ
National Provider Identifier
1730690231
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00773300 Issued in NJ
Practice address
615 Franklin Tpke
Ridgewood, NJ 07450-1903
Phone
(201) 447-1700
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00773300 NJ Primary

Addresses

Primary practice location

615 Franklin Tpke
Ridgewood, NJ 07450-1903

Mailing address

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-1364

Other practice location 1

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (800) 230-7526

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
26NJ00773300NJMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: casey.keeganapn.p3@direct.ppncsnj.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1730690231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SPEEDWELL AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602934",
            "telephone_number": "973-539-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FRANKLIN TPKE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501903",
            "telephone_number": "201-447-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Speedwell Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079602934",
            "country_code": "US",
            "telephone_number": "800-230-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00773300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.