JENNIFER ANNE TENORIO KETCHAM


Address: 1405 Clifton Rd Ne, Atlanta, GA 30322-1281
Phone: 4047856670

JENNIFER ANNE TENORIO KETCHAM (NPI# 1073979746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073979746
Entity Type Individual
Full Name JENNIFER ANNE TENORIO KETCHAM
Practice Address 1405 Clifton Rd Ne
Atlanta
GA 30322-1281
Mailing Address 1732 Kodiak Cir Ne
Atlanta
GA 30345-4148
Practice Telephone 4047856670
Mailing Telephone 7708552283
Enumeration Date 2016-01-11
Last Update Date 2019-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN177251 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1968 Peachtree Rd Nw, Atlanta, GA 303091281 4043511745 4043511721

Office Location

Street Address 1405 CLIFTON RD NE
City ATLANTA
State GA
Zip Code 30322-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730167040 Kiesha Fraser Doh Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2006-01-06
1316548654 Alexa Shea Audiologist 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-11-03
1669071866 Tara Hynes Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-10-20
1255947628 Lauren Nicole Halula Registered Nurse 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-09-21
1003424151 Meagan Green Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-07-15
1518587096 Diane Bailey Registered Nurse 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-04-24
1194345264 Meghan Mchale Registered Nurse 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-04-19
1194344788 Marisa Winter Registered Nurse 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-04-13
1073142410 Kaley Laurence French Student in an Organized Health Care Education/Training Program 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-04-07
1326677600 Chari Lakey Technician/Technologist 1405 Clifton Rd Ne, Atlanta, GA 30322-3050 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445830 Justin Gill Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 2019-06-12
1891354510 Gwendolyn Gisiner Gunn Genetic Counselor, MS Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 2019-06-06
1144710567 Lisa Cathy-ann Akosa Registered Nurse 1365 Cifton Road Ne, Atlanta, GA 30322 2018-05-10
1083118004 Jessica Milian Keilson Student in an Organized Health Care Education/Training Program 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 2018-03-23
1568982684 Jennifer Bilko Dietitian, Registered 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 2017-06-20
1134652258 Kassahun Bilcha Student in an Organized Health Care Education/Training Program 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 2017-04-05
1356872246 Tova Rogers Dermatology 1525 Clifton Road Suite 105, Atlanta, GA 30322 2017-03-23
1194271445 Dina Amin Dentist 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 2016-08-28
1427404904 Rita Kaur Kuwahara Student in an Organized Health Care Education/Training Program 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 2016-05-13
1891176251 Octav Cristea Transplant Surgery 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 2015-06-11
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255805107 B and B Healthcare Consultants Nurse Anesthetist, Certified Registered 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 2019-01-14
1578074993 Spectrum Anesthesia, LLC Nurse Anesthetist, Certified Registered 67 Peachtree Park Dr Ne Ste 101, Atlanta, GA 30309-1318 2017-10-12
1346778610 Michelle Leigh Sebag Nurse Anesthetist, Certified Registered 550 Peachtree St Ne Fl 2, Atlanta, GA 30308-2212 2017-05-31
1720525439 Alison Briana Gunbay Nurse Anesthetist, Certified Registered 2952 Ashlyn Ridge Ct, Atlanta, GA 30340-2278 2017-01-20
1740723147 Frank James Sullen Jr. Nurse Anesthetist, Certified Registered 500 Northridge Rd, Suite 330, Atlanta, GA 30350-3315 2016-12-02
1902267974 Bonnie Grullon-cooper Nurse Anesthetist, Certified Registered 80 Jesse Hill Jr Dr. Box 88, Grady Hospital, Atlanta, GA 30303 2016-03-17
1851799373 Ambulatory Anesthesia Partners LLC Nurse Anesthetist, Certified Registered 438 Tara Trl, Atlanta, GA 30327-4926 2014-12-16
1871933663 Robert T. Eliason Nurse Anesthetist, Certified Registered 600 Peachtree Park Dr Ne, Ste 200, Atlanta, GA 30309 2013-06-26
1609140938 Kristina Marie Kinney Nurse Anesthetist, Certified Registered 550 Peachtree Street Nw, Atlanta, GA 30308 2012-03-05
1265723530 Katrece Levoy Ellis Nurse Anesthetist, Certified Registered 2829 Overlook Trce, Atlanta, GA 30324-7505 2011-04-21
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City ATLANTA
Zip Code 30322

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Dataset Information

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.

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