MRS. KEENYA ANDERSON STATEN (NPI# 1700223609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700223609 |
| Entity Type | Individual |
| Full Name | MRS. KEENYA ANDERSON STATEN |
| Credential | FNP-C |
| Practice Address |
1701 Sunset Ave Ste 105c Rocky Mount NC 27804 |
| Mailing Address |
1701 Sunset Ave Ste 105c Rocky Mount NC 27804-4344 |
| Practice Telephone | 2529690432 |
| Practice Fax Number | 8889771275 |
| Mailing Telephone | 2529690432 |
| Mailing Fax Number | 8889771275 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5006213 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5006213 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5006213 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 SUNSET AVE STE 105C |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| 1518261205 | James D Dozier-dozia | Recreation Therapist | 1245-b Independence Dr, Rocky Mt, NC 27804 | 2011-01-10 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072817 | Carissa Shanae Smith | Nurse Practitioner | 3208 Sunset Ave Ste C, Rocky Mount, NC 27804-3590 | 2020-08-02 |
| 1659912715 | Diana Louise Lafrance | Nurse Practitioner | 20 Hawks Ridge Rd, Rocky Mount, MO 65072-3329 | 2019-09-30 |
| 1124592860 | Southmountain Children & Family Services | Nurse Practitioner | 116 N Englewood Dr, Rocky Mount, NC 27804-2452 | 2019-01-16 |
| 1750743308 | La Wanda Arnita Pulley | Nurse Practitioner | 4564 Country Ln, Rocky Mount, NC 27803-8327 | 2016-03-23 |
| 1639147812 | Patti Greening Sperling | Nurse Practitioner | 111 S Fairview Rd, Rocky Mount, NC 27801 | 2006-03-14 |
| 1679195440 | Karen B Brown | Nurse Practitioner | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 | 2020-05-14 |
| 1548895469 | Paige Elizabeth Emig | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-03-11 |
| 1770140956 | Courtney Rae Boyd | Nurse Practitioner | 921 N Winstead Ave, Rocky Mount, NC 27804-8749 | 2019-05-23 |
| 1952965105 | Shannon Newton | Nurse Practitioner | 720 Orchard Ave, Rocky Mount, VA 24151-1842 | 2019-04-23 |
| 1831752492 | Cashena Shaunte Vann | Nurse Practitioner | 921 N Winstead Ave, Rocky Mount, NC 27804-8749 | 2019-04-19 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
Please comment or provide details below to improve the information on MRS. KEENYA ANDERSON STATEN.
| 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.