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Provider Profile

Jack L. Keith, PMHNP

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At a glance

About Jack Keith

Listed in the NPI registry as a nurse practitioner — psychiatric/mental health, Jack L. Keith, PMHNP practices in University Place, WA. NPI 1982968210 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2018

Credentials & Licensing

WA licenceAs reported to the NPI registry
No. AP61193548As reported
OR licenceAs reported to the NPI registry
No. 202110580NP-PPAs reported
NPINational Provider Identifier
1982968210Issued 2012

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jack L. Keith specialize in?

Jack L. Keith is a nurse practitioner in University Place, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

Where is Jack L. Keith located?

Jack L. Keith is listed at 6102 84Th Avenue CT W, University Place, WA 98467. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack L. Keith's phone number?

The number on file is (360) 870-5411. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack L. Keith's NPI number?

Jack L. Keith's National Provider Identifier is 1982968210. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack L. Keith train?

Jack L. Keith attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How long has Jack L. Keith been practicing?

Jack L. Keith has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Has Jack L. Keith confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack L. Keith. If this is you, claiming it is free.

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