Individual provider Active NPI

Keelin Sepp

  • Specialist
  • Amenia, NY
National Provider Identifier
1962306951
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4194621 Issued in NY
Practice address
175 Haight Rd
Amenia, NY 12501-5208
Phone
(845) 373-4100
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.