Tonya Jean Keen

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA0000001446 Issued in TN

Practice address

2300 Pavilion Dr
Kingsport, TN 37660-4622

Phone

(423) 765-9655

NPI assigned

Feb 9, 2020

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

Other names 1

• Tonya Jean Keen Shelton Other name

Electronic endpoints 1

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": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1902438849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "city": "RAVEN",
            "state": "VA",
            "postal_code": "246391182",
            "telephone_number": "276-971-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PAVILION DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604622",
            "telephone_number": "423-765-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "TONYA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000001446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "OTA0000001446",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NHC-Kingsport",
            "affiliation": "N",
            "endpointDescription": "NHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2300 Pavilion Dr",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376604622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "KEEN SHELTON",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashima Kapoor
• Jeffrey R Kappa, MD
• Rosanne D Kappa, M.D.
• Michael P Kauzlarich, D.O.
• W Jan Kazmier, M.D.
• Zachary Kegley, DO
• Meghan Keita, DPT, PT
• Kristopher Jacob Keller, DDS
• Tonya Kennard, LPC-MHSP
• Hunter Kenney

• Occupational Therapy Assistant in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.