AUTUMN KETCHER (NPI# 1043561590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043561590 |
| Entity Type | Individual |
| Full Name | AUTUMN KETCHER |
| Practice Address |
27753 S Welling Rd Welling OK 74471-2202 |
| Practice Telephone | 9184575595 |
| Mailing Telephone | 9184575595 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
27753 S WELLING RD |
| City | WELLING |
| State | OK |
| Zip Code | 74471-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215561 | Lake Country Healthcare LLC | Pharmacy | 27753 S Welling Rd, Welling, OK 74471-2202 | 2006-07-30 |
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1013406669 | Tanesha Lacie Carter | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2018-05-08 |
| 1942652771 | Samantha Nicole Young | Social Worker | 27753 S Welling Rd, Welling, OK 74471-2202 | 2016-07-05 |
| 1376953497 | Karen Ford | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-28 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1215350293 | Amanda Jo Long | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-28 |
| 1053734079 | Becky Gonelli | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-27 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922206382 | Sue Ella Dalrymple | Homemaker | 23315 E 830 Rd, Welling, OK 74471 | 2007-07-06 |
| 1407031214 | Hope Dupre Owen | Advanced Practice Midwife | 20432 S 560 Rd, Welling, OK 74471-2006 | 2007-12-31 |
| 1366713794 | Janus Farar | Counselor | 23463 E 774 Rd, Welling, OK 74471-2013 | 2012-01-17 |
| 1396757217 | Onward and Upward Incorporated | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2006-08-12 |
| 1811149933 | Linda Lavelle White | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-10-21 |
| 1396917027 | Mary Elaine Rainwater | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-04-02 |
| 1881894301 | Christy Dawn Steele | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-07-23 |
| 1699977066 | Patricia Ann Daniel | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-06-05 |
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1073131496 | Ginger Dawn Weber | Specialist | 1431 Hite Blvd, Enid, OK 73703-7938 | 2020-07-13 |
| 1558993568 | Ihelpc LLC | Specialist | 913 N Roosevelt Ave, Sand Springs, OK 74063-7329 | 2020-02-07 |
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.