Tamara Lynn Keys, LPN
Individual provider Active NPI Licensed Practical Nurse · Central Square, NY
NPI 1780101220 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780101220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 329583-1 (NY)
- Practice address
- 344 Hickory Lane
Central Square, NY 13036 - Phone
- (315) 676-9070
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 329583-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 329583-1 | NY | Yes |
Addresses
Primary practice location
344 Hickory Lane
Central Square, NY 13036
Mailing address
344 Hickory LN
Central Square, NY 13036-2622
Phone (315) 676-9070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329583-1 | Other | NY | LICENSED PRACTICAL NURSE |
Other providers in Central Square, NY
- Brandy Nicole Johnson
- Leona Sarah Johnson
- Marie S Karboski
- Lisa M Kelley
- Danielle Kerfien
- Patricia M Koch
- Denise M Kosecki
- Lawrence Koss
- Anthony Peter Kossa
- Claudia F Krider
All providers in Central Square, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.