Kevin Keogh, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000016238 Issued in TN

Practice address

209 College St
Lafayette, TN 37083-1701

Phone

(615) 666-2056

NPI assigned

Oct 31, 2011

Last updated

Oct 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kevin.keogh.p2@direct.360care.nextgenshare.com

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1851677157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "KEVIN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02067604",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Robert James, PA-C
• Sherry Jent
• Jamii Johnson, M.D.
• Thelma Loue Jones, LMT, MMP
• KC PLLC (First Choice Pharmacy)
• Larry C Key, DDS
• Anthony Knight, OWNER/LMT/MMP
• KSC, Inc (Lafayette Pharmacy)
• Jessica Lancaster, PTA
• Hunter Layken Lane, FNP-BC

• Family Nurse Practitioner in Lafayette, TN
• Providers in Lafayette, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.