Active NPI
Brianna Louise Keen
- Occupational Therapist
- Sullivan, MO
National Provider Identifier
1952178287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2022004792
- Practice address
- 8701 Highway Ae
Sullivan, MO 63080-3243 - Phone
- (573) 259-0470
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022004792 | MO | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2022004792 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8701 Highway Ae
Sullivan, MO 63080-3243
Mailing address
8701 Highway Ae
Sullivan, MO 63080-3243
Phone (573) 259-0470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2023.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1952178287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 HIGHWAY AE",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630803243",
"telephone_number": "573-259-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 HIGHWAY AE",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630803243",
"telephone_number": "573-259-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "BRIANNA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2022004792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.