MR. SCOTT KEATLEY RD CDN NPI 1619327129

NPI Information

NPI: 1619327129
Provider Name: MR. SCOTT KEATLEY, RD, CDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
596 BROADWAY
STE 302
NEW YORK, NY
ZIP 10012
Phone: (800) 571-8276
Get Directions

MR. Scott Keatley, RD, CDN is a nutrition and metabolic dietitian registered in New York, NY. MR. Scott Keatley, RD, CDN NPI is 1619327129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

596 BROADWAY
STE 302
NEW YORK, NY
ZIP 10012-396
Phone: (800) 571-8276
Fax: (888) 974-0289

The enumeration date for this NPI number is 6/15/2016 and was last updated on 7/21/2022.

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	133N00000X	Nutritionist		009107	NEW YORK	No
2	133V00000X	Dietitian, Registered				No
3	133VN1005X	Dietitian, Registered	Nutrition, Renal	009107	NEW YORK	No
4	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	009107	NEW YORK	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	009107	OTHER	NEW YORK	NYS REGISTRATION
2	06090442	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
3	6004111	OTHER	NEW YORK	AETNA
4	NU009107	OTHER	NEW YORK	HEALTHFIRST
5	75762436	OTHER	NEW YORK	CIGNA

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: 4/28/2024

NPI Synchronization or Removal

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