Lori Ann Keough

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN36190 Issued in RI

Practice address

309 Belmont St
Worcester, MA 01604-1059

Phone

(508) 368-0524

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

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 and National Provider Directory roles.

• Department of Mental Health

  dba UMASS Transitional Program IRTP

  • Mental Illness Community Based Residential Treatment Facility
  • Worcester, MA
  • NPI 1588782700
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770542680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LINCOLN ST",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027711718",
            "telephone_number": "401-487-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041059",
            "telephone_number": "508-368-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Seekonk",
            "state": "MA",
            "postal_code": "027711718",
            "country_code": "US",
            "telephone_number": "401-487-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "RN36190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Kent, M.D.
• Lily Isabella Kent, PA-C
• Kristy Kenworthy, RDN
• Marietta Kenyan
• Julia B Kenyon
• Kepa Home Care, LLC
• Farzaneh Esther Kermani
• Elizabeth Kern, CNP
• Meredith A Kern, MD
• James Byron Kernan, PMHNP-BC

• Family Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.