Cynthia Tanner Keane, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 364762 Issued in CA

Practice address

100 Hospital Dr Ste 303
Vallejo, CA 94589-2583

Phone

(707) 645-7210

NPI assigned

Oct 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teodoro P. Nissen M.D., Inc

  • Specialist
  • Vallejo, CA
  • NPI 1629248109
  NPD

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1972908358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 303",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892583",
            "telephone_number": "707-645-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR STE 303",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892583",
            "telephone_number": "707-645-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "CYNTHIA",
        "middle_name": "TANNER",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 364762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreet Kaur
• Alexandria Quan Kausch, DPT
• Cristeta Kaw, MD
• Kathleen Cecelia Kawecki-Shelly
• Kelvin Nolan Kay, M.D.
• Suraj Kedarisetty, MD
• Chandra Nicole Keebler Bloom, MD
• Savannah Grace Keller, PNP
• Susan Keller, PH.D
• Brittany Wilkinson Kelley, MSW

• Registered Nurse in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.