JACOB KEATON
NPI 1164048229
Registered Nurse - Psychiatric/Mental Health in Lewisburg, WV

Q: What is Jacob Keaton's NPI number?

The NPI number for Jacob Keaton is 1164048229. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Jacob Keaton's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Keaton was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 24, 2020

348 NORTHRIDGE DR, LEWISBURG, WV 24901(304) 661-3825 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jacob Keaton NPPES

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

JACOB KEATON (NPI 1164048229) is an individual psychiatric/mental health provider in Lewisburg, West Virginia, licensed in West Virginia (164W00000X) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1164048229

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameJACOB KEATON

Location Address348 NORTHRIDGE DRLewisburg, WV 24901-0010

Mailing Address962 Coffman Cemetery RdLewisburg, WV 24901-5629 · (304) 661-3825

Phone(304) 661-3825

Sole ProprietorNo

Enumeration DateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1164048229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in WV · 164W00000X

Also ListedAssistant Behavior AnalystTaxonomy 106E00000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

348 NORTHRIDGE DR, Lewisburg, WV 24901

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

LISA GAIL WILLIAMS

Day Training/Habilitation Specialist

348 NORTHRIDGE DR
LEWISBURG, WV 24901

Greenbrier County (304) 497-0500

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 Jacob Keaton's NPI number?

The NPI number for Jacob Keaton is 1164048229. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Jacob Keaton located?

Jacob Keaton practices at 348 Northridge Dr, Lewisburg, WV 24901. The listed phone number is (304) 661-3825.

What is Jacob Keaton's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jacob Keaton was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.