Individual provider Active NPI

Juliann Keeling, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1740640366
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009759 Issued in KY
Practice address
716 W Broadway
Louisville, KY 40202-2216
Phone
(502) 595-7744
Fax
(502) 595-7007
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 3009759 KY Primary

Addresses

Primary practice location

716 W Broadway
Louisville, KY 40202-2216

Mailing address

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 595-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160330001492 KY Practitioner - Nurse Practitioner 3870890262 Reassigns benefits to 1 organization
I20160510002039 IN Practitioner - Nurse Practitioner 3870890262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, PSC CurrentSince Mar 1, 2016 Accepting new patients

Locations

207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212

716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1740640366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "JULIANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.