Keshia Groves
Nurse Practitioner (Family)

Address: 22 W 23rd St Ph, New York, NY 10010-5211
Phone: 2128805494

Keshia Groves (NPI# 1598367062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598367062
Entity Type Individual
Full Name Keshia Groves
Gender Female
Practice Address 22 W 23rd St Ph
New York
NY 10010-5211
Practice Telephone 2128805494
Mailing Address 272 Alta St
Brentwood
CA 94513-4269
Mailing Telephone 4152256910
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-10
Last Update Date 2020-11-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 95013763 CA

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 22 W 23RD ST PH
City NEW YORK
State NY
Zip Code 10010-5211

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NPI Name Taxonomy Address Enumeration
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

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.