Active NPI
Loni Amanda Keen, RRT
- Registered Respiratory Therapist
- Jacksonville, FL
National Provider Identifier
1740058767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RT16952
- Practice address
- 145 Heron Bay Rd
Jacksonville, FL 32218-3595 - Phone
- (904) 470-6900
- NPI assigned
- Dec 19, 2023
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | RT16952 | FL | Primary |
Addresses
Primary practice location
145 Heron Bay Rd
Jacksonville, FL 32218-3595
Mailing address
84002 Keen LN
Yulee, FL 32097-7372
Phone (904) 557-5466
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 |
|---|---|---|---|
| RT16952 | FL | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Pavia Healthcare Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1962807503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1740058767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84002 KEEN LN",
"city": "YULEE",
"state": "FL",
"postal_code": "320977372",
"telephone_number": "904-557-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HERON BAY RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322183595",
"telephone_number": "904-470-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "LONI",
"middle_name": "AMANDA",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT16952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.