Active NPI
Mayra Keaton
- Family Medicine Physician
- Haines City, FL
National Provider Identifier
1851020713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN11008268
- Practice address
- 313 Villa Sorrento Cir
Haines City, FL 33844-8301 - Phone
- (863) 661-5105
- NPI assigned
- Jun 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN11008268 | FL | Primary |
Addresses
Primary practice location
313 Villa Sorrento Cir
Haines City, FL 33844-8301
Mailing address
313 Villa Sorrento Cir
Haines City, FL 33844-8301
Phone (863) 661-5105
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008268 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- mayra.keaton.1@26688.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1851020713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 VILLA SORRENTO CIR",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338448301",
"telephone_number": "863-661-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 VILLA SORRENTO CIR",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338448301",
"telephone_number": "863-661-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATON",
"first_name": "MAYRA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11008268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.