DELORIS TARA KEETON — NPI 1265914121 (Licensed & Credentialed Registered Nurse, School in ARMONA, CA)

CMS-1500 Box 24J / 33a • NPI

1265914121

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WS0200X

Licensed & Credentialed Registered Nurse, School

Box 32 Service Location & ZIP+4

11115 C STREET, ARMONA, CA, 93202

Official NPPES Practice Location

Practice Phone & Referral Fax

(559) 583-5000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265914121 (DELORIS TARA KEETON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265914121` (NPI-1 Individual Practitioner)
Provider / Legal Name	DELORIS TARA KEETON
Plain-English Specialty	Licensed & Credentialed Registered Nurse, School NUCC Code: `163WS0200X` (Registered Nurse, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11115 C STREET, ARMONA, CA, 93202
Practice Telephone / Fax	Tel: (559) 583-5000
Administrative Mailing Address	PO BOX 368, ARMONA, CA, 93202-0368
Enumeration & Last Sync	Enumerated: 2018-09-06 \| CMS Record Updated: 2018-09-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11115 C STREET, ARMONA, CA, 93202

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Plain-English Taxonomy & CMS Crosswalk (163WS0200X)

What Does Taxonomy Code 163WS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WS0200X translates to:
"Licensed & Credentialed Registered Nurse, School"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, School for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DELORIS TARA KEETON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WS0200X` — Registered Nurse, School Plain English: Licensed & Credentialed Registered Nurse, School	State: CA \| License: `761358` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DELORIS TARA KEETON (NPI #1265914121)