Diana M. McKeithan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201754 Issued in NC

Practice address

101 N Walnut St
Fairmont, NC 28340-1951

Phone

(910) 628-0655

Fax

(910) 628-0158

NPI assigned

Jul 21, 2005

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Brier Creek Integrated Pain & Spine PLLC

  • Medical Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1538352760
  Medicare reassignment Care Compare group
• JKM Community Services, PLLC

  • Community/Behavioral Health Agency
  • Lillington, NC
  • NPI 1720451784
  NPD (past)
• Pain and Laser Cente PA

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, NC
  • NPI 1689878118
  NPD (past)
• Raleigh Orthopaedic Clinic PA

  dba Raleigh Orthopaedic Therapy Services

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1235137563
  NPD (past)
• United Sleep Medicine Associates PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Charlotte, NC
  • NPI 1033172960
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1790784619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-272-3051",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401951",
            "telephone_number": "910-628-0655",
            "fax_number": "910-628-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEITHAN",
        "first_name": "DIANA",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Changing Behaviral Health Services
• Henry William Link, PHD
• Linking Services
• Alexandria Locklear, PHARMD
• Phillip S McIver, DDS
• Steven A McLean, RPH
• Angela McMillian, LPCA
• Mya Camile Moody
• Mt. Olive Family Care Home #2
• Adrianna Oxendine, PA

• Family Nurse Practitioner in Fairmont, NC
• Providers in Fairmont, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.