- Practice location
- 596 Broadway, Suite 302, New York, NY 10012-3396
- Phone
- 800-571-8276
- Fax
- 888-974-0289
- Last updated
- July 10, 2020
Gina Angel Keatley is a Dietitian, Registered based in New York, NY. Gina Angel Keatley practices in New York, NY and has the professional credentials of MBA, CDN. The NPI Number for Gina Angel Keatley is 1164775649 and holds a License No. 007594 (NY). The current practice location address for Gina Angel Keatley is 596 Broadway, Suite 302, New York, NY 10012-3396 and can be reached out via phone at 800-571-8276 and via fax at 888-974-0289.
Provider Profile Details
- NPI Number
- 1164775649
- Provider Name
- Gina Angel Keatley
- Credential
- MBA, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 596 Broadway, Suite 302, New York, NY 10012-3396
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 20, 2012
- Last Update Date
- July 10, 2020
- Certification Date
- July 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 596 Broadway
Suite 302
New York, NY 10012-3396 - City
- New York
- State
- New York
- Zip
- 10012-3396
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
Provider Business Mailing Address Details
- Address
- 173 Hopkins St Apt 3L
Brooklyn, NY 11206-5021 - City
- Brooklyn
- State
- NY
- Zip
- 11206-5021
- Phone Number
- 800-571-8276
- Fax Number
- 888-974-0289
License Information
- License Number (1)
- 007594
- License State (1)
- NY
- Taxonomy (1)
- Nutritionist · 133N00000X
- License Number (2)
- 007594
- License State (2)
- NY
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
- License Number (3)
- 007594
- License State (3)
- NY
- Taxonomy (3)
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- License Number (4)
- 007594
- License State (4)
- NY
- Taxonomy (4)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Gina A Keatley, MBA, CDN?
The NPI number of Mrs. Gina A Keatley, MBA, CDN is 1164775649. It was assigned on October 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Gina A Keatley, MBA, CDN?
Mrs. Gina A Keatley, MBA, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 007594.
Where does Mrs. Gina A Keatley, MBA, CDN practice?
The practice location is 596 Broadway, Suite 302, New York, NY 10012-3396. The office can be reached at 800-571-8276 (phone) or 888-974-0289 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164775649 directly on the NPPES registry website.