Individual provider Active NPI

Patrica F Keane, PHD, CNP

  • Family Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1992734388
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.163713-COA1 Issued in OH
Practice address
600 E Gambier St
Mount Vernon, OH 43050-3705
Phone
(740) 392-3732
Fax
(740) 392-3732
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.163713-COA1 OH Primary

Addresses

Primary practice location

600 E Gambier St
Mount Vernon, OH 43050-3705

Mailing address

600 E Gambier St
Mount Vernon, OH 43050-3705
Phone (740) 392-3732

Other identifiers 1

IdentifierTypeStateIssuer
2271778MedicaidOH

Other names 1

  • Patricia Frances Hodge Former name

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN.163713-COA1OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1992734388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503705",
            "telephone_number": "740-392-3732",
            "fax_number": "740-392-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503705",
            "telephone_number": "740-392-3732",
            "fax_number": "740-392-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "PATRICA",
        "middle_name": "F",
        "credential": "PHD, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.163713-COA1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HODGE",
            "middle_name": "FRANCES",
            "credential": "PHD, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.