Individual provider Active NPI

Keisha D'Andrea Harvey, M.D.

  • Family Medicine Physician
  • Covington, LA
National Provider Identifier
1821355637
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206754 Issued in LA
Practice address
70124 3Rd St
Covington, LA 70433-8407
Phone
(229) 869-0294
NPI assigned
Apr 18, 2012
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.206754 LA Primary

Addresses

Primary practice location

70124 3Rd St
Covington, LA 70433-8407

Mailing address

2781 S Columbia St
Ste a
Bogalusa, LA 70427-7962
Phone (229) 869-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140707000328 LA Practitioner - Family Practice 5597980631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr KS Family MedicineGroup PAC ID 9335426121, 2 clinicians

Practice addresses (Care Compare)

2781 S Columbia St
Bogalusa, LA 70427-7962
Phone (985) 241-5525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206754LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. K's Family Medicine Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Parish Transit LLC Current Accepting new patients

Locations

2781 S Columbia St
Bogalusa, LA 70427
Phone (985) 241-5525

2781 S Columbia St
Ste A
Bogalusa, LA 70427
Phone (229) 869-0294

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dr KS Family MedicineBogalusa, LA, CCN 198920 Rural health clinic W-2 Managing Employee Apr 15, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1821355637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 S COLUMBIA ST",
            "address_2": "STE A",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277962",
            "telephone_number": "229-869-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70124 3RD ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338407",
            "telephone_number": "229-869-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "KEISHA",
        "middle_name": "D'ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.