Keith Wright

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

740 Florida Central Pkwy
Ste #1028
Longwood, FL 32750-7651

Phone

(407) 774-2284

NPI assigned

Jun 28, 2016

Sex

Male

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

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.

• Home at Last, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Longwood, FL
  • NPI 1821137985
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1780035154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327720160",
            "telephone_number": "321-696-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FLORIDA CENTRAL PKWY",
            "address_2": "STE #1028",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327507651",
            "telephone_number": "407-774-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameca Woodside
• Gina Denise Workman
• Lynda J Worley, HAS
• Vicki Mary Wotring, MSW,CADC, CSAT,EMDR
• Wound Management Services Inc
• Talia Debra Wright, M.S., L.M.H.C.,
• Tara Wright, DC
• Nichole Wu
• Darby Wyatt, LMT
• Whitney Wynn

• Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.