Active NPI
Jane Keeley, FNP
- Nurse Practitioner
- Laytonville, CA
National Provider Identifier
1821021536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5064
- Practice address
- 50 Branscomb Rd
Laytonville, CA 95454 - Phone
- (707) 984-6137
- Fax
- (707) 984-7337
- NPI assigned
- Jul 8, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5064 | CA | Primary |
Addresses
Primary practice location
50 Branscomb Rd
Laytonville, CA 95454
Mailing address
PO Box 870
Laytonville, CA 95454-0870
Phone (707) 984-6137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821021536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870",
"city": "LAYTONVILLE",
"state": "CA",
"postal_code": "954540870",
"telephone_number": "707-984-6137",
"fax_number": "707-984-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BRANSCOMB RD",
"city": "LAYTONVILLE",
"state": "CA",
"postal_code": "95454",
"telephone_number": "707-984-6137",
"fax_number": "707-984-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELEY",
"first_name": "JANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laytonville, CA
- Branscomb Pharmacy Corporation (Branscomb Pharmacy Corp)
- Cahto Tribe Health and Human Services
- Chad Eventide, MHS, PA-C
- Carrie Alice Guilfoyle, ANP-C
- Judy Hansen, LEP
- Gregory Kocher, D.D.S
- Shaelah Ellen Lewis, FNP-C
- Long Valley Fire Protection Dist (Laytonville Fire Dept Ambulance)
- Long Valley Health Center
- Aliza Menashe, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.