Organization Active NPI

Keys2Health Wellness Center

  • Family Nurse Practitioner
  • Lawrence, NJ
National Provider Identifier
1902472350
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KEYS2HEALTH WELLNESS CENTER
Practice address
2500 Brunswick Ave Ste 205
Lawrence, NJ 08648-4134
Phone
(732) 290-5480
Fax
(732) 716-3200
NPI assigned
May 27, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Dr. Kesha Walton, DNPNPI 1164541124
Title
Owner
Phone
(732) 290-5480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2500 Brunswick Ave Ste 205
Lawrence, NJ 08648-4134

Mailing address

2500 Brunswick Ave Ste 205
Lawrence, NJ 08648-4134
Phone (732) 290-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614001351 NJ Part B Supplier - Clinic/Group Practice 7416357439 Receives reassigned benefits from 1 practitioner
Practice locations: Ewing, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2187154Keys2Health Wellness Center2500 Brunswick Pike, Suite 204-205, Lawrenceville, NJ 08648Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Locations

1676 N Olden Ave
Bldg 1B
Ewing, NJ 08638
Phone (732) 290-5480

1676 N Olden Ave
Bldg 1B2ND
Ewing, NJ 08638
Phone (856) 316-6175

2500 Brunswick Ave
Ste 205
Lawrence, NJ 08648
Phone (732) 290-5480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1902472350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK AVE STE 205",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "732-290-5480",
            "fax_number": "732-716-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK AVE STE 205",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "732-290-5480",
            "fax_number": "732-716-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS2HEALTH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-290-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.