MATTHEW KEEN (NPI# 1689124414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689124414 |
| Entity Type | Individual |
| Full Name | MATTHEW KEEN |
| Credential | FNP-C |
| Practice Address |
615 Top Notch Ln Eureka MO 63025-1169 |
| Practice Telephone | 2816385060 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016035658 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841611522 | Matthew Keen | Dietitian, Registered | 15308 136th Ave E, Puyallup, WA 98374-9241 | 2013-12-23 |
| Street Address |
615 TOP NOTCH LN |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609324 | Megan Rochelle Robison | Nurse Practitioner | 6 Hogan Cir Apt 305, Eureka, MO 63025-3810 | 2018-08-16 |
| 1164834578 | Roxane Heiob | Nurse Practitioner | 1525 J St, Eureka, CA 95501-2657 | 2014-05-20 |
| 1356492771 | Yvette Alise Faust | Nurse Practitioner | 2607 Harris St, Eureka, CA 95503-4806 | 2007-01-13 |
| 1841230752 | Jennifer S. Hoffman | Nurse Practitioner | 105 S Major St, Eureka, IL 61530-1246 | 2006-06-08 |
| 1790742534 | Paula Israel Rhude | Nurse Practitioner | 301 P St, Eureka, CA 95501-0627 | 2006-04-26 |
| 1275517674 | Marina Lans Early | Nurse Practitioner | 2200 Tydd Street, Eureka, CA 95501-1284 | 2005-11-30 |
| 1942298955 | Veronica Renee Wizes | Nurse Practitioner | 1773 Harrison Ave, Eureka, CA 95501-1338 | 2005-10-12 |
| 1447864756 | Shoua Lor | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-09-03 |
| 1467066209 | Rolando Subijano | Nurse Practitioner | 2505 Lucas St Ste A, Eureka, CA 95501-3340 | 2020-08-31 |
| 1104434364 | Gift Oluchi Okwandu | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-07-14 |
| Find all providers in EUREKA | ||||
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| 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.