Julie Marie Keehn, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN.0995857-NP Issued in CO

Practice address

141 S Purcell Blvd Ste 140
Pueblo West, CO 81007-5123

Phone

(719) 281-9587

NPI assigned

Sep 14, 2020

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

• Julie Marie Nissen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19630/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1730794892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S PURCELL BLVD STE 140",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075123",
            "telephone_number": "719-281-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S PURCELL BLVD STE 140",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075123",
            "telephone_number": "719-281-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEHN",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0995857-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "NISSEN",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Jessie, CD(DONA)
• Brianna Nicole Johnson, LCSW
• Kathryn Marie Johnson
• Jose M. Arango D.D.S., M.S.
• La Vetta Kay, COTA
• Vanessa Kempton, MS, ADDC
• Melissa Kay Kent
• Margot Edith Keur, R.N.
• Sylvia King, NP
• Dana Rae Krakow, LPC

• Adult Health Nurse Practitioner in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.