LORI ANN KEOUGH (NPI# 1770542680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770542680 |
| Entity Type | Individual |
| Full Name | LORI ANN KEOUGH |
| Practice Address |
309 Belmont St Worcester MA 01604-1059 |
| Mailing Address |
501 Lincoln St Seekonk MA 02771-1718 |
| Practice Telephone | 5083680524 |
| Mailing Telephone | (401) 487-1929 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN36190 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Lincoln St, Seekonk, MA 027711718 | (401) 487-1929 |
| Street Address |
309 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656760 | The Commonwealth of Massachusetts | Psychiatric Hospital | 309 Belmont St, Worcester, MA 01604-1059 | 2018-10-29 |
| 1043795792 | Dana Lynn Mcmannus | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-28 |
| 1790268407 | Jacqueline Ducharme | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-09 |
| 1154803153 | Regina Elaine Amorello | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-05 |
| 1649752288 | Elizabeth Gale-bentz | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-30 |
| 1538640917 | Alexander Wilkins | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-23 |
| 1225519812 | Claire Nicole Bryson | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-22 |
| 1265912547 | Alexandra Doucette | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-16 |
| 1346727583 | Jane Ellen Malkiewich | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-07-20 |
| 1043700891 | Dana Eve Palit | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479593 | Belina Pupi | Nurse Practitioner | 3 Mabelle St, Worcester, MA 01602-2017 | 2020-08-28 |
| 1457996704 | Augusta Oluremi Ishola | Nurse Practitioner | 17 Nizam Dr, Worcester, MA 01605-4017 | 2019-11-11 |
| 1891346854 | Phoebe Ofosua Amoako | Nurse Practitioner | 63 Frank St Apt 97, Worcester, MA 01604-1091 | 2019-09-21 |
| 1295390227 | Irene Acheampong | Nurse Practitioner | 2 Pineland Ave Apt 9a, Worcester, MA 01604-1473 | 2019-05-06 |
| 1538660386 | Viana Bernard | Nurse Practitioner | 363 Belmont St, Worcester, MA 01604-1011 | 2018-02-27 |
| 1598137663 | Kristen Marie Haviland | Nurse Practitioner | 180 Vernon St, Worcester, MA 01610-2036 | 2015-10-28 |
| 1801233127 | Rachel N Derry | Nurse Practitioner | 358 Shrewsbury St, Worcester, MA 01604 | 2013-05-28 |
| 1902145287 | Virginia Haddad | Nurse Practitioner | 10 Crillon Rd, Worcester, MA 01605-2308 | 2013-02-06 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1497083984 | Amy Kristen Aviles | Nurse Practitioner | 3 Aster Pl, Worcester, MA 01603-2201 | 2009-11-23 |
| Find all providers in WORCESTER | ||||
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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.