Theresa Ke, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP048207 Issued in AZ

Practice address

2924 E Fairmount Ave Apt 208
Phoenix, AZ 85016-6943

Phone

(602) 663-8080

NPI assigned

Sep 23, 2015

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1891164596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 E FAIRMOUNT AVE #208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-663-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 E FAIRMOUNT AVE APT 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166943",
            "telephone_number": "602-663-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KE",
        "first_name": "THERESA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP048207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Surgical Services, LLC
• KC'S Home Healthcare LLC
• KC'S Physical Therapy LLC
• Kci USA, Inc.
• KD Chiropractic LLC
• Stacey Keane, LPC
• Shannon Curry Kearl, M.D.
• William Linwood Kearney Sr.
• Brendan F Kearns-Speranza, M.S., BCBA
• Lindsay Kearns, MA, LAC

• Licensed Practical Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.