Individual provider Active NPI

Rebecca Lynne Keenan, CRNP

  • Pediatric Nurse Practitioner
  • Murrysville, PA
National Provider Identifier
1972895704
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP010828 Issued in PA
Practice address
3950 William Penn Hwy
Suite #3
Murrysville, PA 15668-1870
Phone
(724) 325-2133
Fax
(724) 733-2278
NPI assigned
May 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP010828 PA Primary

Addresses

Primary practice location

3950 William Penn Hwy
Suite #3
Murrysville, PA 15668-1870

Mailing address

3950 William Penn Hwy
Suite #3
Murrysville, PA 15668-1870
Phone (724) 325-2133

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

LicenseStateTypeSpecialty
SP010828PAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rebecca.l.keenan@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1972895704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 WILLIAM PENN HWY",
            "address_2": "SUITE #3",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681870",
            "telephone_number": "724-325-2133",
            "fax_number": "724-733-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 WILLIAM PENN HWY",
            "address_2": "SUITE #3",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681870",
            "telephone_number": "724-325-2133",
            "fax_number": "724-733-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP010828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.