MARY C KEANE (NPI# 1043551807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043551807 |
| Entity Type | Individual |
| Full Name | MARY C KEANE |
| Credential | FNP |
| Practice Address |
1031 Bellevue Ave Suite 300 Saint Louis MO 63117-1818 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 3146479444 |
| Practice Fax Number | 3146477317 |
| Mailing Telephone | 3146479444 |
| Mailing Fax Number | 3146477317 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2006021094 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013000128 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043437288 | Mary Theresa Keane | Social Worker | 9810 Patuxent Woods Dr Ste C, Columbia, MD 21046-1595 | 2007-04-19 |
| 1689064222 | Mary Elizabeth Keane | Social Worker | 1025 Vermont Ave Nw, Suite 310 The Womens Center, Washington, DC 20005 | 2015-02-04 |
| 1851645857 | Mary Elliott Keane | Occupational Therapist | 12033 Se 256th St, Kent, WA 98030-6503 | 2012-10-30 |
| Street Address |
1031 BELLEVUE AVE SUITE 300 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114908266 | Charles Nester | Family Medicine | 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 | 2005-11-07 |
| 1336673458 | Karen Crider | Registered Nurse | 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1818 | 2017-04-14 |
| 1043507528 | Emily G Basarabescu | Physician Assistant | 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 | 2011-07-05 |
| 1972734523 | Jaime Lynn Kynion | Nurse Practitioner | 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 | 2009-07-30 |
| 1700037637 | Heather Allardyce Halenkamp | Physician Assistant | 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 | 2008-10-09 |
| 1780847731 | Ewa L Brennan | Nurse Practitioner | 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 | 2008-07-09 |
| 1619151214 | Marian Gakes | Physician Assistant | 1031 Bellevue Ave, Suite 280, Saint Louis, MO 63117-1818 | 2007-12-19 |
| 1043493224 | Midwest Vascular and Endovascular Surgery PC | Surgery | 1031 Bellevue Ave, Suite 349, Saint Louis, MO 63117-1818 | 2007-12-11 |
| 1144402660 | Ssm Medical Group | Clinic/Center | 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 | 2007-11-27 |
| 1508054198 | St Louis Heart Center, Inc | Internal Medicine | 1031 Bellevue Ave, Suite 206, Saint Louis, MO 63117-1818 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on MARY C KEANE.
| 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.