AMY KETTERER (NPI# 1225020506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225020506 |
Entity Type | Individual |
Full Name | AMY KETTERER |
Credential | APRN |
Practice Address |
161 Washington Street Suite 1400 Eight Tower Bridge Conshohocken PA 19428 |
Mailing Address |
7983 Castlewood Ln Burlington KY 41005-9429 |
Practice Telephone | 8668253227 |
Mailing Telephone | 8593847706 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2013-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
08056 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4188P | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
161 WASHINGTON STREET SUITE 1400 EIGHT TOWER BRIDGE |
City | CONSHOHOCKEN |
State | PA |
Zip Code | 19428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487074894 | Heidi Marie Wold | Nurse Practitioner | 161 Washington Street, Suite 1400, Conshohocken, PA 19438 | 2014-04-24 |
1205038536 | Anna Barsema | Nurse Practitioner | 161 Washington Street, Eight Tower Bridge, Suite 1400, Conshohocken, PA 19428 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
Find all providers in zip 19428 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841664497 | The Judge Group | Nurse Practitioner | 300 Conshohocken State Rd, Suite 300, Conshohocken, PA 19428-3801 | 2015-11-19 |
1487893103 | Laurie Lee | Nurse Practitioner | 161 Washington St Fl 14, Eight Tower Bridge, 14th Floor, Conshohocken, PA 19428-2083 | 2009-02-19 |
1699950170 | Karen Margaret Thomas | Nurse Practitioner | 161 Washington St Ste 1400, Conshohocken, PA 19428-2055 | 2008-01-03 |
1114066701 | Lora Lee Blasius | Nurse Practitioner | 161 Washington St. Suite 1400, Eight Tower Bridge, Conshohocken, PA 19428 | 2007-02-06 |
1154380608 | Michelle Brunetti | Nurse Practitioner | 161 Washington St, Suite 1400, Conshohocken, PA 19428-2083 | 2006-03-22 |
1962829267 | Kimberly Stear | Nurse Practitioner | 300 Conshohocken State Rd Ste 260, Conshohocken, PA 19428-3820 | 2014-03-25 |
1710266903 | Susan Lynn Bockman | Nurse Practitioner | 161 Washington St Fl 14, Suite 1400, Conshohocken, PA 19428-2083 | 2011-08-05 |
1144415225 | Kathleen Mary Grady | Nurse Practitioner | 161 Washington St, Suite 1400, Conshohocken, PA 19428-2083 | 2007-09-11 |
1366564593 | Elizabeth G Boone | Nurse Practitioner | 1000 River Rd, Suite 100, Conshohocken, PA 19428-2439 | 2007-04-06 |
1144311267 | Theresa J Davies | Nurse Practitioner | 161 Washington St, Eight Tower Bride, Conshohocken, PA 19428 | 2006-09-27 |
Find all providers in CONSHOHOCKEN |
City | CONSHOHOCKEN |
Zip Code | 19428 |
Please comment or provide details below to improve the information on AMY KETTERER.
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.