Lola L Keith

Primary specialty

HomemakerTaxonomy code 376J00000X

License

239596 Issued in FL

Practice address

2718 Calloway Cir
Jacksonville, FL 32209-2811

Phone

(904) 661-8784

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1780460063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 CALLOWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092811",
            "telephone_number": "904-661-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 CALLOWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092811",
            "telephone_number": "904-661-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "LOLA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "239596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Nicole Kehoe
• Zander Keig, LCSW
• Kelsey Ilene Keimig, AU.D.
• Joshua Keith, DO
• Kimberly Dawn Keith
• Marian Frances Keith
• Emily Sarris Kelbert, PA-C
• Danesh K Kella, M.D.
• Heather Kellar, PT, DPT
• Barry Dean Kellem, CBHCM

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.