Individual provider Active NPI

Jason Roy Keable, ARNP

  • Acute Care Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1942669890
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP11149 Issued in AZ
Practice address
203 S Candy LN Ste 1a
Cottonwood, AZ 86326-8104
Phone
(850) 320-3203
Fax
(928) 639-0167
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP11149 AZ Primary

Addresses

Primary practice location

203 S Candy LN Ste 1a
Cottonwood, AZ 86326-8104

Mailing address

203 S Candy LN Ste 1a
Cottonwood, AZ 86326-8104
Phone (850) 320-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210127001067 AZ Practitioner - Nurse Practitioner 8729385885 Practice locations: Cottonwood, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

203 S Candy LN
Suite 1a
Cottonwood, AZ 86326-8104
Phone (928) 852-4540

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Verde Valley Medical Center Past Accepting new patients
Verde Valley Concierge Medicine PLLC Acute Care PastSince Oct 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1942669890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 1A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268104",
            "telephone_number": "850-320-3203",
            "fax_number": "928-639-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 1A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863268104",
            "telephone_number": "850-320-3203",
            "fax_number": "928-639-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEABLE",
        "first_name": "JASON",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP11149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.