Linda Laverne Keddington, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1373 Issued in AK

Practice address

315 5TH Ave
Fairbanks, AK 99701-5025

Phone

(406) 579-7101

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, CO, OR3 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 3

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthy Minds of Colorado LLC 3 clinicians

Anchorage Community Mental Health Services Inc 40 clinicians

Wallowa County Health Care District 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anchorage Community Mental Health Services Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1326268301

  AK, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Healthy Minds of Colorado LLC

  • Psychiatry Physician
  • Fort Collins, CO
  • NPI 1902492978

  CO, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Wallowa County Health Care District

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250

  Multi-Specialty, OR

  Medicare reassignment Care Compare group NPD
• Winding Waters Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Enterprise, OR
  • NPI 1922475219

  Multi-Specialty, OR

  Medicare reassignment NPD
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333
  Care Compare group NPD
• New Leaf Associates, LLC

  • Adult Mental Health Clinic/Center
  • Bozeman, MT
  • NPI 1619161023

  Multi-Specialty

  NPD (past) Authorized official
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Wallowa, OR
  • NPI 1508452160
  Care Compare group NPD (past)
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Joseph, OR
  • NPI 1790167831
  Care Compare group NPD (past)
• Wallowa County Health Care District

  • Medicare Defined Swing Bed Hospital Unit
  • Enterprise, OR
  • NPI 1164428066
  Care Compare group
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1528442837
  Care Compare group
• Wallowa County Health Care District

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Care Compare group
• Anchorage Community Mental Health Services, Inc

  • Primary Care Nurse Practitioner
  • Fairbanks, AK
  • NPI 1083431688

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1760675953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58621",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997110621",
            "telephone_number": "406-579-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015025",
            "telephone_number": "406-579-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDDINGTON",
        "first_name": "LINDA",
        "middle_name": "LAVERNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "30177",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0992259-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "1373",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201811259NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJ Kayouktuk
• Cecily Kearse
• Keldrick Kearse
• Laura Spence Kearsley, M.D.
• Daniel Kechker, DO
• Elizabeth Keech, MED
• Robert Keeling
• Erica Lorraine Keen, AA
• Ryan Keener, RN
• Daphne Cheryl Lyn Keeney, P.T.

• All providers in Fairbanks, AK
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.