Active NPI
Keelin Sepp
- Specialist
- Amenia, NY
National Provider Identifier
1962306951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4194621
- Practice address
- 175 Haight Rd
Amenia, NY 12501-5208 - Phone
- (845) 373-4100
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4194621 | NY | Primary |
Addresses
Primary practice location
175 Haight Rd
Amenia, NY 12501-5208
Mailing address
46 Mill Street Apt. 1
PO Box 1038
Dover Plains, NY 12522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1962306951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MILL STREET APT. 1",
"address_2": "PO BOX 1038",
"city": "DOVER PLAINS",
"state": "NY",
"postal_code": "12522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HAIGHT RD",
"city": "AMENIA",
"state": "NY",
"postal_code": "125015208",
"telephone_number": "845-373-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPP",
"first_name": "KEELIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "4194621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amenia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.