KATHLEEN ANNETTE KEOGH (NPI# 1013067610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013067610 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNETTE KEOGH |
| Credential | RN, CNP |
| Practice Address |
1055 Westgate Dr Saint Paul MN 55114-1065 |
| Mailing Address |
16183 Tahinka Pl Nw Prior Lake MN 55372-1850 |
| Practice Telephone | 6516359173 |
| Practice Fax Number | 6122627989 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R117190-9 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1027328-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619023850 | Kathleen Keogh | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2007-01-27 |
| Street Address |
1055 WESTGATE DR |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043171 | Kathryn I Kreslins | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2005-12-07 |
| 1811453129 | Lindsay D. Howell | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2019-02-12 |
| 1881164804 | Jo Walker | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2018-12-03 |
| 1992272504 | Molly Schacht | Registered Nurse | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2018-11-01 |
| 1548795404 | Michelle Cary | Physical Therapist | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2017-04-27 |
| 1396287769 | Alyssa M Lonergan | Physical Therapist | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2016-11-16 |
| 1770950263 | Vanessa Kruse | Nurse Practitioner | 1055 Westgate Dr, Ste 100, Saint Paul, MN 55114-1065 | 2015-08-31 |
| 1629473418 | Kelley L Paulson | Physical Therapist | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2014-10-23 |
| 1073928396 | Anastasiya Huberty | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2014-06-25 |
| 1700215001 | Jenifer Wynne | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1720016660 | Sasenarine Singh | Nurse Practitioner | 1690 University Ave W Ste 115, Saint Paul, MN 55104-3118 | 2006-06-29 |
| 1528043171 | Kathryn I Kreslins | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2005-12-07 |
| 1508397290 | Shannon Marie Mooney | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-03-23 |
| 1316347313 | Amanda Jean Lueck | Nurse Practitioner | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2014-08-27 |
| 1700215001 | Jenifer Wynne | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2013-11-06 |
| 1215365606 | Maria Tarlue Keita | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2013-10-22 |
| 1164702742 | Kelli A Petersen | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2011-08-26 |
| 1750684049 | Lisa Marie Terhaar | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2010-12-08 |
| 1649438417 | Momodou Ceesay | Nurse Practitioner | 1021 Bandana Blvd E, Suite 214, Saint Paul, MN 55108-5113 | 2008-05-29 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on KATHLEEN ANNETTE KEOGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.