Individual
MR. SCOTT KEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CDN
Contact information
Practice address
596 BROADWAY, STE 302, NEW YORK, NY 10012-3396
(800) 571-8276
(888) 974-0289
Mailing address
869 PARK AVE APT 2A, BROOKLYN, NY 11206-7334
(800) 571-8276
(888) 974-0289
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
009107
NY
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
009107
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
009107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009107
NYS REGISTRATION
NY
01
—
06090442
BLUE CROSS BLUE SHIELD
NY
01
—
6004111
AETNA
NY
01
—
75762436
CIGNA
NY
01
—
NU009107
HEALTHFIRST
NY
Enumeration date
06/15/2016
Last updated
01/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us