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Active NPI 1245052265 Individual Practitioner Female Practitioner

Tyda Saroeung Rom Keo , LPN

Licensed Practical Nurse • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Tyda Rom Keo, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Somerville, MA. Practice services are available at 401 HIGHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Highland Ave

Somerville, MA 021442516

Telephone 8335104357
Associated Practice Facility / Clinic
🏢 Brightview Llc Facility NPI 1952727505

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Somerville, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN100116

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Uzma Mian , MD

Internal Medicine

NPI 1003079419

Doctor of Medicine (M.D.)

Dara Concepcion-Perry , LCSW

Social Worker - Clinical

NPI 1003245465

Licensed Clinical Social Worker

Elizabeth Wyman , LPC

Counselor - Professional

NPI 1003264722

Licensed Professional Counselor

NPI 1003419714

REGISTEREDNURSE

Ariel Mikesell , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003452376

Chemical Dependency Counselor Assistant

Paula Krueger

Social Worker - Clinical

NPI 1003566860

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2024

Registered at 401 HIGHLAND AVE, SOMERVILLE, MA 021442516 (Tel: 8335104357)

📍
Updated Business Mailing Address October 30, 2024

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600

👤
Provider Name / Credentials Updated October 30, 2024

Recorded as TYDA ROM KEO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Licensed Practical Nurse (License #LN100116 in MA)

🟢
Initial NPI Registration & Enumeration October 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245052265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2024
Last Update: October 30, 2024
Sole Proprietor: No

Mailing Address

4600 Montgomery Rd Ste 400

Cincinnati, OH 452122600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.