Individual provider Active NPI

Jeana Lee Keith, APRN-CNP

  • Primary Care Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1780448928
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4015987 Issued in KY
Practice address
6470 S Highway 27
Somerset, KY 42501-6075
Phone
(606) 341-1339
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4015987 KY Primary

Addresses

Primary practice location

6470 S Highway 27
Somerset, KY 42501-6075

Mailing address

555 Jonah Kelsey Rd
Russell Springs, KY 42642-8614
Phone (765) 580-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240326003203 KY Practitioner - Nurse Practitioner 1153768130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Cardiology Associates LLCGroup PAC ID 5092854034, 7 clinicians

Practice addresses (Care Compare)

50 Medpark Square Dr
Suite 1
Somerset, KY 42503-1708
Phone (606) 678-0599

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4015987KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Cardiology Associates LLC CurrentSince Dec 1, 2024 Accepting new patients
Lakeside Primary Care, PSC Primary Care CurrentSince Feb 8, 2024 Accepting new patients

Locations

305 Langdon St
Ste B
Somerset, KY 42503

6470 S Highway 27
Somerset, KY 42501
Phone (606) 341-1201

50 Medpark Dr
Ste 1
Somerset, KY 42503

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1780448928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 JONAH KELSEY RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428614",
            "telephone_number": "765-580-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016075",
            "telephone_number": "606-341-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JEANA",
        "middle_name": "LEE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4015987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.