EILEEN F KEANE PNP
NPI 1962413401
Nurse Practitioner - Pediatrics in New Haven, CT

Active since August 10, 2006
374 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2018, Jul 5, 2017 (2 updates tracked since 2017).

About Eileen F Keane Pnp NPPES

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

EILEEN F KEANE PNP (NPI 1962413401) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (6169) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1962413401
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEILEEN F KEANECredential: PNP
Location Address374 GRAND AVENew Haven, CT 06513-3733
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 777-7411 · Fax (203) 777-8506
Fax(203) 777-8506
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateNovember 29, 20182 updates tracked since enumeration
NPI 1962413401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CT · 6169
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 006169 (CT)
374 GRAND AVE, New Haven, CT 06513

Other Identifiers 4

Medicaid1300709MA
OtherNP9903MA · Bcbs
OtherY10141MA · Bcbs-group
Other56780MA · Fallon Select

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
Physician Assistant
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER
NEW HAVEN, CT 06513
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
Family Medicine
374 GRAND AVE
NEW HAVEN, CT 06513
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513

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 Eileen Keane's NPI number?

The NPI number for Eileen Keane is 1962413401. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Eileen Keane located?

Eileen Keane practices at 374 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Eileen Keane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Eileen Keane was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.