Individual provider Active NPI

Christopher Charles Keaton, ANP

  • Adult Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1811267040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP06800 Issued in LA
Practice address
20050 Crestwood Blvd
Covington, LA 70433-5207
Phone
(985) 892-7070
Fax
(985) 892-7017
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP06800 LA Primary

Addresses

Primary practice location

20050 Crestwood Blvd
Covington, LA 70433-5207

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Other identifiers 1

IdentifierTypeStateIssuer
2182382MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120227000478 LA Practitioner - Nurse Practitioner 9830357508 Reassigns benefits to 2 organizations
I20190731002243 MS Practitioner - Nurse Practitioner 9830357508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLC 117 clinicians

Practice addresses (Care Compare)

1302 44TH Ave
Gulfport, MS 39501-2552
Phone (985) 892-7070

16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • P a M Specialty Hospital of Covington Long-term care hospital, Covington, LA, CCN 192048
  • P a M Specialty Hospital of Hammond Long-term care hospital, Hammond, LA, CCN 192036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06800LAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ckeaton@direct-address.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811267040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 CRESTWOOD BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335207",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182382",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.