Individual provider Active NPI

Joanne M Keefe, RNCS APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hingham, MA
National Provider Identifier
1760620934
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN218250 Issued in MA
Practice address
210 Whiting St Ste 5
Hingham, MA 02043-3724
Phone
(339) 200-8671
Fax
(339) 200-8034
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN218250 MA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN218250 MA Primary

Addresses

Primary practice location

210 Whiting St Ste 5
Hingham, MA 02043-3724

Mailing address

210 Whiting St Ste 5
Hingham, MA 02043-3724
Phone (339) 200-8671

Other practice location 1

169 Libbey Pkwy
Weymouth, MA 02189-3101
Phone (781) 682-1060

Other practice location 2

169 Libbey Pkwy
Weymouth, MA 02189-3101
Phone (781) 682-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000422 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 5597820571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN218250MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation CurrentSince Mar 1, 2021 Accepting new patients
Neurobehavioral Associates III, Inc Psychiatric/Mental Health, Adult PastSince May 25, 1999 Accepting new patients
The McLean Hospital Corporation Past Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

Organizations & group practices 3

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1760620934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WHITING ST STE 5",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "339-200-8671",
            "fax_number": "339-200-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WHITING ST STE 5",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433724",
            "telephone_number": "339-200-8671",
            "fax_number": "339-200-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Libbey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021893101",
            "country_code": "US",
            "telephone_number": "781-682-1060",
            "fax_number": "781-682-1061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Libbey Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021893101",
            "country_code": "US",
            "telephone_number": "781-682-1060",
            "fax_number": "781-682-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "JOANNE",
        "middle_name": "M",
        "credential": "RNCS APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN218250",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN218250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.