Nicole Marlene Keating, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

55814062 Issued in NY

Practice address

21 Russet LN
Wantagh, NY 11793-1514

Phone

(516) 316-6608

NPI assigned

Jun 6, 2012

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

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1811258825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RUSSET LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931514",
            "telephone_number": "516-316-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RUSSET LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931514",
            "telephone_number": "516-316-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "NICOLE",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "55814062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Kannengeiser, M.S.
• Lalita Kapoor, RN
• William Steven Kappel, D.D.S.
• Alexei Kartachov, M.D.
• Rita Kavanagh
• Nancy Keelan, LMSW
• Sean Jeffrey Keller, MD
• Sinead Mary Kennedy, LCSW, CASAC
• Julianne Keym, CCC-SLP
• Bhshta Khail, PHARMD

• Specialist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.