Keystone Integrative Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KEYSTONE INTEGRATIVE HEALTH LLC

Practice address

2660 State St
Hamden, CT 06517-2226

Phone

(203) 675-1644

Fax

(203) 281-4466

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jason B Richards, DCNPI 1104897651

Title

Manager

Phone

(203) 675-1644

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason B Richards, D.C.

  • Chiropractor
  • Hamden, CT
  • NPI 1104897651
  Medicare reassignment NPD Authorized official
• Ellie Arias, DC, MS

  • Chiropractor
  • Hamden, CT
  • NPI 1912680893
  NPD
• Lynn Swanson, APRN

  • Nurse Practitioner
  • Berlin, CT
  • NPI 1073082343
  NPD
• Robin R Watson, MSN APRN

  • Nurse Practitioner
  • Norwich, CT
  • NPI 1235114273
  NPD
• Nisreen Shleiwet, DC

  • Chiropractor
  • Harrison, NY
  • NPI 1013590884
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1891512752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 STATE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172226",
            "telephone_number": "203-675-1644",
            "fax_number": "203-281-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 STATE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172226",
            "telephone_number": "203-675-1644",
            "fax_number": "203-281-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-675-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlie Beth Kesten, MSW
• Kevin J. Hunt, MD,PC
• Kew Mindset LLC
• Brian Keyes, MD
• Keystone Chiropractic LLC
• Vasant B Khachane, MD
• Roman Khodzinsky, M.D.
• Nicole L Kikosicki, LCSW
• Richard F Kiley Sr.
• Christopher Killheffer

• Nurse Practitioner in Hamden, CT
• Providers in Hamden, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.