Active NPI
Amy Keywood, RD, CDE
- Registered Dietitian
- Mountain View, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 886083
- Practice address
- 477 J W Dr
Mountain View, AR 72560-4000 - Phone
- (601) 573-9725
- NPI assigned
- Jun 26, 2006
- Last updated
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 886083 | MS | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 135470 | KY |
Addresses
Primary practice location
477 J W Dr
Mountain View, AR 72560-4000
Mailing address
477 J W Dr
Mountain View, AR 72560-4000
Phone (601) 573-9725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710000337 | Other | MS | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, KY, AR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1511 Hwy 25 B N
Arcare 85
Heber Springs, AR 72543-0497
Phone (501) 362-9438
54 Tate Springs Rd
Melbourne, AR 72556-8633
Phone (870) 368-5030
805 3Rd St
Horseshoe Bend, AR 72512-3736
Phone (870) 670-4861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 886083 | MS | MD | Registered Dietitian |
| 135470 | KY | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Amy Keywood | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467
405 Georgetown St
Hazlehurst, MS 39083
Phone (601) 894-1616
353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999
Organizations & group practices 6
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.
-
dba Keyhabits Diabetes Management & Supplies
- Durable Medical Equipment & Medical Supplies
- Hazlehurst, MS
- NPI 1871773754
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1821025164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 J W DR",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725604000",
"telephone_number": "601-573-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 J W DR",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725604000",
"telephone_number": "601-573-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYWOOD",
"first_name": "AMY",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "886083",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "KY",
"license": "135470",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "710000337",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.