KEYS2MEMORY, LLC
NPI 1043567647
Nurse Practitioner - Gerontology in Mystic, CT

Active since August 14, 2012
20 BURROWS ST, MYSTIC, CT 06355(860) 245-4144(860) 245-4145 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keys2memory, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYS2MEMORY, LLC (NPI 1043567647) is a healthcare organization registered as a gerontology in Mystic, Connecticut and active in the NPI registry since August 2012. The organization lists Elena Schjavland, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1043567647
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameKEYS2MEMORY, LLC
Location Address20 BURROWS STMystic, CT 06355-2445
Mailing Address23 East Main St., Po Box 625Mystic, CT 06355-0625 · (860) 245-4144 · Fax (860) 245-4145
Fax(860) 245-4145
Organization SubpartNo
Authorized OfficialElena SchjavlandOwner/provider · (860) 245-4144
Enumeration DateAugust 14, 2012
Last NPPES UpdateJanuary 7, 2014
NPI 1043567647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CT · 002017
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 002017 (CT)
20 BURROWS ST, Mystic, CT 06355

Other Identifiers 3

Medicaid004020178CT
Medicare PIN500000409 C00814CT
Medicare UPINP02581CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
20 BURROWS ST, KEYS2MEMORY, LLC
MYSTIC, CT 06355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keys2memory, LLC's NPI number?

The NPI number for Keys2memory, LLC is 1043567647. It was assigned to this organization in the NPPES registry on August 14, 2012.

Where is Keys2memory, LLC located?

Keys2memory, LLC is located at 20 Burrows St, Mystic, CT 06355. The listed phone number is (860) 245-4144.

What is Keys2memory, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Keys2memory, LLC was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.