Jack Keith, PMHNP

InactiveIndividual ProviderNurse Practitioner
NPI issued: July 2, 2012

Quick Facts

NPI Number
1982968210
TypeIndividual
StatusInactive
SpecialtyNurse Practitioner
Taxonomy363LP0808X — Nurse Practitioner
Phone
(360) 870-5411
StateWA

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1982968210)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 2, 2012)
Data source: CMS NPPES

Provider Overview

JACK KEITH, PMHNP is a Nurse Practitioner provider based in University Place, WA who has been registered with CMS since 2012. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1982968210
Provider TypeIndividual Provider
GenderMale
CredentialPMHNP
StatusInactive
Enumeration DateJuly 2, 2012

Practice Location

CityUniversity Place
StateWA
ZIP Code98467-4042
Phone(360) 870-5411

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LP0808X
License StateWA

Mailing Address

CityUniversity Place
StateWA
ZIP Code98467-4042
Phone(360) 870-5411
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1982968210 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1982968210for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1982968210 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
📊
53,937
Nurse Practitioner Providers in the US

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People Also Ask

What is Jack Keith's NPI number?
Jack Keith's NPI number is 1982968210, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Keith's NPI currently active?
No, Jack Keith's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Jack Keith specialize in?
Jack Keith specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LP0808X.
Where does Jack Keith practice?
Jack Keith practices in University Place, WA 98467-4042.
When was Jack Keith's NPI issued?
Jack Keith's NPI was issued on July 2, 2012.
What is Jack Keith's provider type?
Jack Keith is registered as an Individual Provider under CMS NPI Type 1.