MR. KEITH HART (NPI# 1063065373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063065373 |
| Entity Type | Individual |
| Full Name | MR. KEITH HART |
| Credential | NP |
| Practice Address |
1101 E Marshall St Ste 1-030 Richmond VA 23298-5048 |
| Mailing Address |
2824 Monument Ave Apt 1 Richmond VA 23221-1760 |
| Practice Telephone | 8048288786 |
| Mailing Telephone | 8043079561 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
0001252679 | VA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024177892 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316306731 | Keith Hart | Case Manager/Care Coordinator | 140 S Holly St, Medford, OR 97501-3113 | 2016-02-12 |
| 1629053822 | Keith M Hart | Pediatrics | 2000 E Greenville St, Ste 3000, Anderson, SC 29621 | 2005-12-09 |
| Street Address |
1101 E MARSHALL ST STE 1-030 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095485 | Dan Park | Student in an Organized Health Care Education/Training Program | 1101 E Marshall St Ste 1-030, Richmond, VA 23298-5048 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1114531803 | Karalee Ann Mlack | Nurse Practitioner | 432 Sara Leigh Dr Apt 2, Richmond, KY 40475-2648 | 2020-09-01 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1043832850 | Sanober Barolia | Nurse Practitioner | 1007 Parsnip Acres Ct, Richmond, TX 77406 | 2020-05-14 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1780224543 | Uloma C Adiele | Nurse Practitioner | 3206 Organic Rise Ln, Richmond, TX 77406-2749 | 2020-01-09 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1447710371 | Christine Le | Nurse Practitioner | 17134 Chalmers Close Ct, Richmond, TX 77407-1732 | 2019-03-25 |
| 1942765094 | Glaiza Micu Boado | Nurse Practitioner | 211 Riverway Bluff Ln, Richmond, TX 77406-2170 | 2019-02-04 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| Find all providers in RICHMOND | ||||
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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.