Individual provider Active NPI

Erin Louise McKenzie-Keaveny, MA

  • Student in an Organized Health Care Education/Training Program
  • Saint Michael, MN
National Provider Identifier
1851131304
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
703 Thielen Dr
Saint Michael, MN 55376-9613
Phone
(763) 515-4563
Fax
(763) 497-0552
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MN Primary

Addresses

Primary practice location

703 Thielen Dr
Saint Michael, MN 55376-9613

Mailing address

703 Thielen Dr
Saint Michael, MN 55376-9613
Phone (763) 515-4563

Other practice location 1

1772 Stieger Lake Ln Ste 220
Victoria, MN 55386-7720
Phone (952) 443-4660

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenz Clinic, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1772 Stieger Lake Ln
Ste 220
Victoria, MN 55386
Phone (763) 443-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1851131304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1772 Stieger Lake Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "MN",
            "postal_code": "553867720",
            "country_code": "US",
            "telephone_number": "952-443-4660",
            "fax_number": "952-443-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE-KEAVENY",
        "first_name": "ERIN",
        "middle_name": "LOUISE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.