MARY JEANNE KEITH (NPI# 1396733739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396733739 |
| Entity Type | Individual |
| Full Name | MARY JEANNE KEITH |
| Credential | RN, CNP |
| Practice Address |
401 Carlson Parkway Cp340 Minnetonka MN 55305-5387 |
| Mailing Address |
1718 W 66th St Richfield MN 55423-2138 |
| Practice Telephone | 9529923604 |
| Practice Fax Number | 6128660459 |
| Mailing Telephone | 6128611080 |
| Mailing Fax Number | 6128660459 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
136908-23 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 553215900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174986053 | Mary Frances Keith | Student in an Organized Health Care Education/Training Program | 303 Halleet Street, 2nd Floor, Pittsburgh, PA 15213 | 2016-03-30 |
| 1942695069 | Mary Beth Cheever Keith | Pediatrics | 1213 Hermann Dr Ste 670, Houston, TX 77004-7084 | 2015-04-06 |
| 1124378799 | Mary Alice Keith | Occupational Therapist | 805 E. Spruce, Chatham, IL 62692 | 2012-09-11 |
| 1639468176 | Mary Keith | Rehabilitation Practitioner | 2633 Cactus Hill Dr, Las Vegas, NV 89156-7565 | 2011-04-05 |
| 1306977277 | Mary M Keith | Audiologist | 1324 Belmont St, Suite 204, Brockton, MA 02301-4435 | 2007-03-09 |
| 1790728343 | Mary Keith | Occupational Therapist | 2119 Westover Cir, Panama City, FL 32405-2332 | 2006-06-13 |
| 1326533712 | Mary Rebecca Keith | Dentist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2018-06-27 |
| 1881126449 | Mary Keith | Student in an Organized Health Care Education/Training Program | 2001 Tulane Ave, D&t 2nd Floor - Suite 2720, New Orleans, LA 70112-2249 | 2017-03-31 |
| 1376935098 | Mary Keith | Audiologist | 910 Blackford St, Attn: Children's Therapy Services, Chattanooga, TN 37403-1405 | 2015-03-04 |
| 1629475553 | Mary Keith | Registered Nurse | 810 W Saginaw St, Lansing, MI 48915-1963 | 2014-11-20 |
| Street Address |
401 CARLSON PARKWAY CP340 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-5387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245249259 | Susan Lee Kissell | Nurse Practitioner | 401 Carlson Parkway, Minnetonka, MN 55305-5387 | 2006-08-07 |
| 1326027590 | Beverly Lynn Woodbury | Nurse Practitioner | 401 Carlson Parkway, Minnetonka, MN 55305-5387 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239801 | Marilyn Rima | Nurse Practitioner | 9701 Data Park, Mn006-w600, Minnetonka, MN 55343-9026 | 2006-07-02 |
| 1558843458 | Roxanne Gosnell | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-09-06 |
| 1023502911 | Trixy M. Headden | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-06-14 |
| 1295257202 | Bethany Joy Best | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2017-07-11 |
| 1457894313 | Kevyn Ann Taylor | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2016-11-28 |
| 1013387778 | Anthony Bray | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-10-06 |
| 1952780793 | Cinderesa Armstrong | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2015-05-27 |
| 1073943148 | Alicia Gripper | Nurse Practitioner | 9900 Bren Rd East, Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2013-11-26 |
| 1417387598 | Maritza Johnson | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2013-11-26 |
| 1689916512 | Marketa Keishia Taylor | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2013-03-18 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MARY JEANNE KEITH.
| 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.