Individual provider Active NPI

Annakathryn Keiper, DNP / FNP

  • Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1972974871
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19781 Issued in SC
Practice address
912 Old Georgetown Rd.
Mt. Pleasant, SC 29464
Phone
(843) 216-3530
NPI assigned
Oct 18, 2015
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19781 SC Primary

Addresses

Primary practice location

912 Old Georgetown Rd.
Mt. Pleasant, SC 29464

Mailing address

912 Old Georgetown Rd.
Mt. Pleasant, SC 29464
Phone (843) 216-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814002652 SC Practitioner - Nurse Practitioner 5799034443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLean Sheperd, MD, LLCGroup PAC ID 4385628908, 6 clinicians

Practice addresses (Care Compare)

912 Old Georgetown Rd
Mount Pleasant, SC 29464-4175
Phone (843) 216-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLean Sheperd, MD, LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

912 Old Georgetown Rd
Mt Pleasant, SC 29464
Phone (843) 216-3530

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1972974871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 OLD GEORGETOWN RD.",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-216-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 OLD GEORGETOWN RD.",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-216-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIPER",
        "first_name": "ANNAKATHRYN",
        "name_prefix": "Dr.",
        "credential": "DNP / FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.