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MARY WARNER KEEN RD, LDN
NPI 1912160706
Dietitian, Registered in Kinston, NC

Active since July 02, 2008
204 AIRPORT RD, KINSTON, NC 28504(252) 522-4446(252) 208-1647 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Apr 28, 2022, Aug 9, 2021 (3 updates tracked since 2021).

About Mary Warner Keen Rd, Ldn NPPES

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

MARY WARNER KEEN RD, LDN (NPI 1912160706) is an individual dietitian, registered in Kinston, North Carolina, licensed in North Carolina (L002879) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1912160706
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY WARNER KEENCredential: RD, LDN
Location Address204 AIRPORT RDKinston, NC 28504-8814
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (984) 215-4111
Phone(252) 522-4446
Fax(252) 208-1647
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1912160706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L002879
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
204 AIRPORT RD, Kinston, NC 28504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Warner Keen Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Keen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unc Physicians Network, LLC
46 mi
Family Medicine
403 FAIRVIEW ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1164793576 (910) 592-6011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

ERRINGTON THOMPSON M.D.
Surgery
204 AIRPORT RD
KINSTON, NC 28504
Lenoir County (252) 775-5999
DR. ROBERT M DEEPE MD
Surgery
204 AIRPORT RD
KINSTON, NC 28504
Lenoir County (252) 939-9300
CWCHBO, PA
Clinic/Center (Medical Specialty)
204 AIRPORT RD
KINSTON, NC 28504
Lenoir County (252) 527-9928
ASHLEY JONES FAULKNER FNP-C
Nurse Practitioner (Family)
204 AIRPORT RD
KINSTON, NC 28504
Lenoir County (252) 775-5999
DR. JAMIE LYNN BENEDEK SERRANO D.O.
Surgery
204 AIRPORT RD
KINSTON, NC 28504
Lenoir County (252) 775-5999

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 Mary Keen's NPI number?

The NPI number for Mary Keen is 1912160706. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Mary Keen located?

Mary Keen practices at 204 Airport Rd, Kinston, NC 28504. The listed phone number is (252) 522-4446.

What is Mary Keen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Keen enrolled in Medicare?

Yes. Mary Keen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Keen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Keen reassigns Medicare benefits to Unc Physicians Network, LLC (Clinton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Keen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Keen was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.