Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Robert Keck, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215047766

Mr. John Robert Keck, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Southwest Behavioral Health Services Inc, a 48-clinician group and offers telehealth. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11047 N 19th Ave
Phoenix, AZ 85029-4816
Phone: (602) 589-0500
Fax: (602) 314-4552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP2289 (AZ)

Record details

NPI number1215047766
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southwest Behavioral Health Services Inc — 48 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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