Dora Keinath, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

041-441206 Issued in IL

Practice address

103 Jim CT
East Peoria, IL 61611-4738

Phone

(309) 369-8983

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1780273268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JIM CT",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114738",
            "telephone_number": "309-369-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JIM CT",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114738",
            "telephone_number": "309-369-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEINATH",
        "first_name": "DORA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "IL",
            "license": "041-441206",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IL",
            "license": "041-441206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "103 Jim Ct",
            "city": "East Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616114738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicky Lynne Jordan, MA CCC-SLP
• Amy Karas
• Ausem Kattom, MD
• Elizabeth Kazlauski, LCPC
• Thomas H Keenan
• Ryan Kellog
• Danielle Nicole Kirgan, PHARM D
• Zachary Kirkpatrick, PT
• Troy Kramer
• Kroger Limited Partnership I (Kroger Pharmacy)

• Community Health Registered Nurse in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Community Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.