Kortni Ann Keil, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F07201642 Issued in IN

Practice address

1001 N Western Ave Ste D
Marion, IN 46952-2567

Phone

(765) 573-6414

Fax

(765) 573-6426

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kortni Ann Dye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Family Health Council, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Indianapolis, IN
  • NPI 1144569070
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1912597279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N DELAWARE ST STE 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042535",
            "telephone_number": "317-247-9151",
            "fax_number": "317-247-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WESTERN AVE STE D",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522567",
            "telephone_number": "765-573-6414",
            "fax_number": "765-573-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "KORTNI",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28222061A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F07201642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORTNI",
            "last_name": "DYE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Venkata K Kancherla, MD
• Fatih Burak Kaner, MD
• Prakash Karna, MD
• Megan Kaufman, LCSW
• Barbara Lynn Keesling, C.R.C.
• Ashley N Keller, CPO
• Jessica Rae Keller, ATC/L
• Stephen Keller, M.D.
• Vincent D Kelley, PH.D.
• Donald Aaron Kellogg

• Nurse Practitioner in Marion, IN
• Providers in Marion, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.