Active NPIIndividual provider

Mrs. Mary M Keohane, APRN, BC, CNN

Nurse Practitioner, Family in Jamaica Plain, Massachusetts

NPI Number1376509786
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
—
Last updated
July 13, 2026

Mary Margaret Keohane is a Nurse Practitioner, Family based in Jamaica Plain, MA. Mary Margaret Keohane practices in Jamaica Plain, MA and has the professional credentials of APRN, BC, CNN. The NPI Number for Mary Margaret Keohane is 1376509786 and holds a License No. 155670 (MA). The current practice location address for Mary Margaret Keohane is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-971-3412.

Provider Profile Details

NPI Number
1376509786
Provider Name
Mary Margaret Keohane
Credential
APRN, BC, CNN
Provider Entity Type
Individual
Gender
Female
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-971-3412
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-971-3412
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
184 Cedar St
Dedham, MA 02026-3338
City
Dedham
State
MA
Zip
02026-3338
Phone Number
781-329-9710

License Information

License Number
155670
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Mary M Keohane, APRN, BC, CNN?

The NPI number of Mrs. Mary M Keohane, APRN, BC, CNN is 1376509786. It was assigned on April 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary M Keohane, APRN, BC, CNN?

Mrs. Mary M Keohane, APRN, BC, CNN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 155670.

Where does Mrs. Mary M Keohane, APRN, BC, CNN practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-971-3412 (phone).

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 1376509786 directly on the NPPES registry website.

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