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

Richard Mark Keedy, FNP

Individual provider Nurse Practitioner · NPI 1265460695

Richard Mark Keedy, FNP is a Nurse Practitioner in San Diego, California. Qualified in 2001, 25 years ago. Practices with Pacific Emergency Providers a Prof Corp, a 24-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4077 Fifth Ave
San Diego, CA 92103-2105
Phone: (619) 260-7000
Fax: (619) 260-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP12804 (CA)

Record details

NPI number1265460695
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESJune 27, 2008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Pacific Emergency Providers A Prof Corp — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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