Leah Wilson Keith, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

33217 Issued in TN

Practice address

1211 Dinah Shore Blvd
Winchester, TN 37398-1107

Phone

(931) 967-6669

NPI assigned

Jan 6, 2023

Last updated

Jan 20, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA
• Direct secure messaging: leah.keith.1@25760.direct.athenahealth.com

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.

• West Madison Urgent & Primary Care, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1558006767
  Medicare reassignment Care Compare group NPD
• Complete Express Care, LLC

  • Urgent Care Clinic/Center
  • Winchester, TN
  • NPI 1083909204
  Medicare reassignment NPD
• Innova Primary Care, PC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1689954240
  Medicare reassignment NPD
• Medcenter Primary Care, LLC

  dba MedCenter NorthRiver

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357

  Nurse Practitioner

  Medicare reassignment NPD
• Tuscaloosa Medcenter North, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1972518777
  Medicare reassignment NPD
• Tuscaloosa Medcenter South, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689689481
  Medicare reassignment NPD
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1548456494
  Medicare reassignment

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1922712744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 JASMINE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357574602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981107",
            "telephone_number": "931-967-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "LEAH",
        "middle_name": "WILSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33217",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-173475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Janke, LCSW
• Saharra D Jewell, APN
• Deborah K Jolleywatson, D.PH.
• K -VA -T Food Stores Inc (Food City Pharmacy #690)
• Kaitlyn Martin, DO, PC
• Sara Keller, SLP-CCC
• Fancy Marie Kilgore, LADAC II
• Jennifer Brooke Kilgore, PHARMD
• Candice Marie Kinney, FNP
• Robert J Kohler, MD

• Nurse Practitioner in Winchester, TN
• Providers in Winchester, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.