Active NPI
Nicole Terese Keeney
- Registered Dietitian
- Washington, DC
National Provider Identifier
1902083488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1084
- Practice address
- Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-0001 - Phone
- (202) 782-4211
- NPI assigned
- Jan 27, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1084 | TN | Primary |
Addresses
Primary practice location
Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-0001
Mailing address
10326 Grendel CT
Mechanicsville, VA 23116-5833
Phone (804) 550-7839
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 |
|---|---|---|---|
| 1084 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201392000000",
"number": "1902083488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10326 GRENDEL CT",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231165833",
"telephone_number": "804-550-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDICAL CENTER",
"address_2": "6900 GEORGIA AVE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENEY",
"first_name": "NICOLE",
"middle_name": "TERESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-27",
"last_updated": "2008-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.