Individual provider Active NPI

Carrie S Keane, CNM

  • Advanced Practice Midwife
  • Dover, DE
National Provider Identifier
1942205265
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK0000140 Issued in DE
Practice address
200 Banning St Ste 320
Dover, DE 19904-3488
Phone
(302) 674-0223
Fax
(302) 346-3443
NPI assigned
Jun 14, 2005
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X LK0000140 DE Primary

Addresses

Primary practice location

200 Banning St Ste 320
Dover, DE 19904-3488

Mailing address

200 Banning St Ste 320
Dover, DE 19904-3488
Phone (302) 674-0223

Other identifiers 1

IdentifierTypeStateIssuer
1000034284MedicaidDE

Other names 1

  • Carrie Szejk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201001029 DE Practitioner - Certified Nurse Midwife (CNM) 8820054844 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Apr 1, 2023 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Apr 1, 2023 Accepting new patients
Dedicated to Women OB-GYN, P.a. CurrentSince Oct 25, 2018 Accepting new patients
Planned Parenthood of Delaware PastSince Sep 4, 2010 Accepting new patients
Bayside Health Association Advanced Practice Midwife Past Accepting new patients

Locations

200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

909 Lakeview Ave
Milford, DE 19963
Phone (302) 422-6038

101 Wellness Way
Ste 300
Milford, DE 19963
Phone (302) 393-5009

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1942205265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 320",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-674-0223",
            "fax_number": "302-346-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 320",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-674-0223",
            "fax_number": "302-346-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "CARRIE",
        "middle_name": "S",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK0000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000034284",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SZEJK",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.