DR. MARY ELIZABETH KEAVENY (NPI# 1063650182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063650182 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH KEAVENY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
68 Westover St West Roxbury MA 02132-1342 |
| Practice Telephone | 6173238497 |
| Practice Fax Number | 6174212706 |
| Mailing Telephone | 6173238497 |
| Mailing Fax Number | 6174212706 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
117221 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
68 WESTOVER ST |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392139 | Molly Desmond | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132 | 2014-06-24 |
| 1356686091 | Sarah Kelley White | Nurse Practitioner | 1400 Vfw Parkway, Va Boston Healthcare System, West Roxbury, MA 02132 | 2012-12-06 |
| 1013280379 | Anna Carstens Mensing | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2012-02-17 |
| 1033227186 | Susan Clarkson Mcginnis | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-08-28 |
| 1972510691 | Linda Lea Bertrand | Nurse Practitioner | 1400 Vfw Pkwy, 4d-140, West Roxbury, MA 02132-4927 | 2006-08-02 |
| 1861439390 | Karen R Vivenzio | Nurse Practitioner | 1400 Vfw Parkway, West Roxbury Veterans Administration, West Roxbury, MA 02132 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244770 | Paul Thomas Bruemmer | Nurse Practitioner | 23 Captain Curtis Way, Orleans, MA 02653-2601 | 2020-10-27 |
| 1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1154928687 | Mary A Hodgerney | Nurse Practitioner | 3 Johnny Cake Rd, Centerville, MA 02632-2446 | 2020-10-07 |
| 1083221659 | Alexis Casimir | Nurse Practitioner | 495 Varnum Ave, Lowell, MA 01854-2123 | 2020-09-28 |
| 1760009476 | Rohit Prakash Shah | Nurse Practitioner | 1884 River St, Hyde Park, MA 02136-1419 | 2020-06-29 |
| 1790307825 | Erin Anne Hennigan | Nurse Practitioner | 54 Payson St, Attleboro, MA 02703-1612 | 2020-05-12 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1477107910 | Deanna Louise Benjamin | Nurse Practitioner | Harvard Rd, Shirley, MA 01464 | 2019-08-01 |
| 1295397545 | Sandy Love Hunt | Nurse Practitioner | 994 Middle St, Weymouth, MA 02188-3957 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.