Individual provider Active NPI

Kimberly Helen McKane, ARNP

  • Pediatric Nurse Practitioner
  • Keene, NH
National Provider Identifier
1841713781
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
063353-23 Issued in NH
Practice address
91 Maple Ave
Keene, NH 03431-1629
Phone
(603) 358-3384
Fax
(603) 357-1242
NPI assigned
Jul 24, 2017
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 063353-23 NH Primary

Addresses

Primary practice location

91 Maple Ave
Keene, NH 03431-1629

Mailing address

91 Maple Ave
Keene, NH 03431-1629
Phone (603) 358-3384

Other identifiers 2

IdentifierTypeStateIssuer
3151125MedicaidNH
063353-23OtherNHSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063353-23NHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarcrest Center for Children With Disabilities PastSince Oct 5, 2025 Accepting new patients
Children's Hospital Pediatric Associates, Inc Pediatrics Past Accepting new patients
Cedarcrest, Inc. PastSince Oct 5, 2025 Accepting new patients
Childrens Hospital Boston Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1841713781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-357-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-357-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKANE",
        "first_name": "KIMBERLY",
        "middle_name": "HELEN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "063353-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151125",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "063353-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.