Active NPI
Audra Marie Keenum
- Certified Registered Nurse Anesthetist
- Sebastian, FL
National Provider Identifier
1841144367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11047881
- Practice address
- 13695 US Highway 1
Sebastian, FL 32958-3230 - Phone
- (772) 589-3186
- NPI assigned
- Feb 23, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9495597 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11047881 | FL | Primary |
Addresses
Primary practice location
13695 US Highway 1
Sebastian, FL 32958-3230
Mailing address
13695 US Highway 1
Sebastian, FL 32958-3230
Phone (407) 712-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260617000978 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8921570326 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Sligh Blvd
FL 3
Orlando, FL 32806-3901
1414 Kuhl Ave
Orlando, FL 32806-2093
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9495597 | FL | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1841144367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13695 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583230",
"telephone_number": "407-712-8131",
"fax_number": "321-843-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13695 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583230",
"telephone_number": "772-589-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENUM",
"first_name": "AUDRA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9495597",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11047881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.