Active NPI
Lynnelle Christine Keane
- Dental Hygienist
- Memphis, TN
National Provider Identifier
1740019033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10025
- Practice address
- 360 E Eh Crump Blvd
Memphis, TN 38126-5310 - Phone
- (901) 261-2000
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10025 | TN | Primary |
Addresses
Primary practice location
360 E Eh Crump Blvd
Memphis, TN 38126-5310
Mailing address
60000 Highway 98
Pensacola, FL 32512-0001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10025 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1740019033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60000 HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E EH CRUMP BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381265310",
"telephone_number": "901-261-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "LYNNELLE",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "10025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.