Individual provider Active NPI

Whitney Keahey, FNP

  • Family Nurse Practitioner
  • Columbia, LA
National Provider Identifier
1831572908
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08430 Issued in LA
Practice address
484 Collins Rd
Columbia, LA 71418-3388
Phone
(318) 649-5300
Fax
(318) 649-0052
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08430 LA Primary

Addresses

Primary practice location

484 Collins Rd
Columbia, LA 71418-3388

Mailing address

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Other identifiers 1

IdentifierTypeStateIssuer
2400746MedicaidLA

Other names 1

  • Whitney Guerrero Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923002742 LA Practitioner - Nurse Practitioner 1355658311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No. 1 of Caldwell ParishGroup PAC ID 4587552450, 37 clinicians

Practice addresses (Care Compare)

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Columbia, LA, CCN 190184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08430LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jul 6, 2015 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Jul 6, 2015 Accepting new patients

Locations

484 Collins Rd
#A
Columbia, LA 71418
Phone (318) 325-2610

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

554 Collins Rd
Columbia, LA 71418
Phone (318) 649-5300

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 2

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1831572908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAHEY",
        "first_name": "WHITNEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400746",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "GUERRERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.