KEELAN C. DEHART (NPI# 1467856914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467856914 |
| Entity Type | Individual |
| Full Name | KEELAN C. DEHART |
| Credential | NNP-BC |
| Practice Address |
415 N 9th St Suite 4w16 Springfield IL 62702-5303 |
| Mailing Address |
Po Box 19676 Springfield IL 62794-9676 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2177576844 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2177576844 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
209-011906 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 N 9TH ST SUITE 4W16 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128109 | Krishna A Rao | Internal Medicine | 415 N 9th St, Springfield, IL 62702-5317 | 2005-10-13 |
| 1821611526 | Michelle Eide | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2020-05-28 |
| 1275156325 | Sivani Aluru | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2020-05-23 |
| 1316560626 | Jaycee Elizabeth Housh | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2020-05-20 |
| 1043832371 | Kerrilyn Hewell | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2020-05-08 |
| 1386205318 | Aneesh Surya Chawla | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2019-06-20 |
| 1144889965 | Maggie Lynn Sevrin | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2019-06-06 |
| 1063070597 | Emma Victoria James | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2019-05-30 |
| 1083272520 | Haylee Elizabeth Elvendahl-rumley | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2019-05-30 |
| 1962996769 | Erika Alejandra Gonzalez Osorio | Obstetrics & Gynecology | 415 N 9th St, Springfield, IL 62702-5303 | 2018-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471008 | Krista Allison Kusinski | Nurse Practitioner | 759 Chestnut St # W2810, Springfield, MA 01107-1619 | 2014-09-30 |
| 1699330860 | Bruce Daniel Hastings | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2019-05-03 |
| 1275035594 | Sara M Zimmerman | Nurse Practitioner | 415 N 9th St, Springfield, IL 62702-5303 | 2018-03-02 |
| 1790211753 | Jemimah Joella Gracia Jurado | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01107-1619 | 2017-05-11 |
| 1558720706 | Jeannie Marie Dodd | Nurse Practitioner | 759 Chestnut St, W2810, Springfield, MA 01199 | 2016-02-16 |
| 1144602087 | Ashley Chapman | Nurse Practitioner | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2015-06-28 |
| 1821482324 | Melissa Ruppel | Nurse Practitioner | 415 N 9th St, Susite 4w16, Springfield, IL 62702-5303 | 2015-03-23 |
| 1568867760 | Melinda B Whitelock | Nurse Practitioner | 415 N 9th St, Suite 4w16, Springfield, IL 62702-5303 | 2014-10-30 |
| 1942605142 | Melissa B Hinds | Nurse Practitioner | 415 N 9th St, Suite 4w16, Springfield, IL 62702-5303 | 2014-10-30 |
| 1295169209 | Allyson R Hou | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-08-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on KEELAN C. DEHART.
| 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.