KEADY FAMILY PRACTICE NPI 1366826828

NPI Information

NPI: 1366826828
Provider Name: KEADY FAMILY PRACTICE
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 30D2119955

Address:
71 BELKNAP AVE
NEWPORT, NH
ZIP 03773
Phone: (603) 863-7777
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KEADY FAMILY PRACTICE is a primary care nurse practitioner in Newport, NH. KEADY FAMILY PRACTICE NPI is 1366826828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

71 BELKNAP AVE
NEWPORT, NH
ZIP 03773-536
Phone: (603) 863-7777

The provider's authorized official is James Keady .
The authorized official title is Owner and has the following contact phone number (603) 863-7777.

The CLIA number assigned to this NPI record is 30D2119955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	05253223	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP455404	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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