Keith Fannin, RN
NPI 1457809881 · Family Nurse Practitioner · Lebanon, NH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Fannin, RN is a Family Nurse Practitioner provider in Lebanon, NH (NPI 1457809881).
Provider details
- NPI number
- 1457809881
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN.372827 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3535 Southern BvldKettering, OH 45420Phone: (937) 298-4331
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2018-03-20
Frequently asked questions
- What is Keith Fannin's NPI number?
- Keith Fannin's National Provider Identifier (NPI) is 1457809881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Fannin's specialty?
- Keith Fannin is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Fannin located?
- Keith Fannin's practice location on file with NPPES is One Medical Center Drive, Lebanon, NH 03756.
- What is Keith Fannin's phone number?
- The practice phone number listed in the NPPES registry for Keith Fannin is (603) 650-7903.
- Does Keith Fannin accept Medicare?
- Keith Fannin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Fannin's NPI active?
- Yes — Keith Fannin's NPI (1457809881) is active in the NPPES registry as of the last update on 2018-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.