Keitha K Mountcstle, RN, ED.D., CNS, NNP

Primary specialty

Neonatal Clinical Nurse SpecialistTaxonomy code 364SN0000X

License

708 Issued in CA

Practice address

205 W Decatur Ave
Clovis, CA 93611-7124

Phone

(559) 322-0868

Fax

(559) 278-6360

NPI assigned

Jul 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972500189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W DECATUR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117124",
            "telephone_number": "559-322-0868",
            "fax_number": "559-278-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W DECATUR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117124",
            "telephone_number": "559-322-0868",
            "fax_number": "559-278-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTCSTLE",
        "first_name": "KEITHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "RN, ED.D., CNS, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CA",
            "license": "10646",
            "primary": false
        },
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "CA",
            "license": "708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami Mostafa, MD
• Marie Claire Moua, BCAT
• Mary Lee Moua
• Paula Y. Mouanoutoua
• Mach Moung
• Andrea L Moushigian, NP
• Sandy Lee Mozier, PT
• Jose Alfredo Mozqueda Saldana, DOCTOR OF PHYSICAL T
• Adnan Mubasher, MD
• Jeffrey Mueller, D.P.T.

• Clinical Nurse Specialist in Clovis, CA
• Providers in Clovis, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.