MRS. HEATHER DIANE KEANE (NPI# 1750517637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750517637 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER DIANE KEANE |
| Credential | RN,CNOR,RNFA |
| Practice Address |
2105 E Teton Blvd Green River WY 82935-6220 |
| Practice Telephone | 3072622467 |
| Mailing Telephone | 3072622467 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
16282 | WY | Nursing Service Providers |
| Street Address |
2105 E TETON BLVD |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174751168 | Keane Alternatives, LLC | Registered Nurse | 2105 E Teton Blvd, Green River, WY 82935-6220 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174751168 | Keane Alternatives, LLC | Registered Nurse | 2105 E Teton Blvd, Green River, WY 82935-6220 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003349465 | Teton Surgical Assist Services LLC | Registered Nurse | 1200 Melody Creek Ln, Jackson, WY 83001-8982 | 2017-04-04 |
| 1215478136 | Jessica Lee Huckins | Registered Nurse | 203 Huntington Dr, Gillette, WY 82718-5770 | 2017-03-10 |
| 1932539855 | Kristi Jensen | Registered Nurse | 564 N Clark St, Powell, WY 82435-1916 | 2013-11-13 |
| 1801232210 | Tawna Lea Kiljander | Registered Nurse | 616 Arcadia Ave, Gillette, WY 82716-2230 | 2013-05-13 |
| 1659683597 | J L Glover, LLC | Registered Nurse | 2220 Crescent Ave, Casper, WY 82604-3292 | 2010-07-08 |
| 1134627227 | Alisha Mackie | Registered Nurse | 1200 College Dr, Rock Springs, WY 82901-5868 | 2018-01-24 |
| 1144732736 | 4js LLC | Registered Nurse | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2017-11-03 |
| 1518479104 | Justin Gerald Tattersall | Registered Nurse | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2017-11-03 |
| 1083066997 | Lori Tyson | Registered Nurse | 707 Sheridan Ave, Cody, WY 82414-3409 | 2016-07-05 |
| 1447641717 | Rebecca Nordin | Registered Nurse | 1909 Vista Dr, Laramie, WY 82070-5530 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
Please comment or provide details below to improve the information on MRS. HEATHER DIANE KEANE.
| 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.