Mary Jane Keegan

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN1192491 Issued in FL

Practice address

116 E Easy St
Fort Pierce, FL 34982-3999

Phone

(772) 828-6075

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841319860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E EASY ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E EASY ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823999",
            "telephone_number": "772-828-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "MARY JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN1192491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Orji Kanu, MD, DO
• Sapir Zahava Karli Micha, M.D.
• Joseph Joseph Katta, MD
• Harsimran Kaur, MD
• Michelle Marie Kee-Smith, CRT
• Patricia Marie Keeler, A.R.N.P.
• Pamala Sue Keen
• Keith J. Kalish DPM, PA
• Alice Keller
• Erin Kelley, OTR/L

• Licensed Practical Nurse in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.