Heather Diane Keane, RN,CNOR,RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

16282 Issued in WY

Practice address

2105 E Teton Blvd
Green River, WY 82935-6220

Phone

(307) 262-2467

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keane Alternatives, LLC

  • Registered Nurse First Assistant
  • Green River, WY
  • NPI 1174751168
  NPD (past) Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1750517637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E TETON BLVD",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829356220",
            "telephone_number": "307-262-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E TETON BLVD",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829356220",
            "telephone_number": "307-262-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RN,CNOR,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WY",
            "license": "16282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Janicki, R.P.T
• Marya Nicole Johns
• Ann Florence Jones
• K-Pack Pharmacy
• Keane Alternatives, LLC
• Alma Killpack, PHARM D
• Chelsie Kirts
• Debra Knight
• Debi Kovick
• Diane Kurth, M.S., CCC-SLP

• Registered Nurse First Assistant in Green River, WY
• Providers in Green River, WY by specialty
• Registered Nurse First Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.