Khadija Mariama Keita, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

4003041 Issued in KY

Practice address

387 Radcliffe Rd # B
Lexington, KY 40505-1627

Phone

(859) 382-3848

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1952137747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 RADCLIFFE RD # B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051627",
            "telephone_number": "859-382-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 RADCLIFFE RD # B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051627",
            "telephone_number": "859-382-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITA",
        "first_name": "KHADIJA",
        "middle_name": "MARIAMA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "4003041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jane Keenoy, PT
• Keep Hope Alive
• Marlana Lynn Keeton, APRN
• Deangelia Renae Keiffer, PA-C
• Keightley & Parsley P S C
• Keith Haas, LCSW, PLLC
• Joanie Keith, APRN
• Lon Allen Keith, M.D.
• Ryan Keith, D.O.
• Eesha Milind Kelkar, MD

• General Practice Registered Nurse in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.