ABBIE L KETCHAM (NPI# 1356985758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356985758 |
| Entity Type | Individual |
| Full Name | ABBIE L KETCHAM |
| Credential | APRN |
| Practice Address |
8248 S 96th St La Vista NE 68128-3126 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4027179500 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 112996 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8248 S 96TH ST |
| City | LA VISTA |
| State | NE |
| Zip Code | 68128-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898248 | Richard H Hurd | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2006-07-06 |
| 1427510395 | Katie Atkins | Pharmacist | 8248 S 96th St, La Vista, NE 68128-3126 | 2019-04-01 |
| 1457893158 | Kathryn E Huerter | Registered Nurse | 8248 S 96th St, La Vista, NE 68128-3126 | 2016-11-11 |
| 1689056681 | Jeffrey D Bruning | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2015-06-25 |
| 1053606871 | Kristin Marie Mcgregor | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2011-06-09 |
| 1871804401 | Brandi Ann Reeve-iverson | Pediatrics | 8248 S 96th St, La Vista, NE 68128-3126 | 2010-06-29 |
| 1790917854 | Angela Marie Gilfillan | Nurse Practitioner | 8248 S 96th St, La Vista, NE 68128 | 2009-08-21 |
| 1871783837 | Allison M Cullan | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2007-07-26 |
| 1891998753 | Noel C Carosella | Physician Assistant | 8248 S 96th St, La Vista, NE 68128-3126 | 2007-06-07 |
| 1760537997 | Daniel Hill | Family Medicine | 8248 S 96th St, La Vista, NE 68128-3126 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| Find all providers in zip 68128 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750721890 | Erin E Thoman | Nurse Practitioner | 6901 S 84th St, La Vista, NE 68128-2127 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984342 | Courtney Ann Herbig | Nurse Practitioner | 1545 Archer Rd, Chapman, NE 68827-2752 | 2020-08-24 |
| 1407466972 | Dana Mae Griffin | Nurse Practitioner | 3015 N 90th St Ste 1, Omaha, NE 68134-4713 | 2020-08-08 |
| 1437773777 | Greater Nebraska Infusion Center, Inc. | Nurse Practitioner | 2604 Saint Patrick Ave Ste 6, Grand Island, NE 68803-1313 | 2020-06-02 |
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1275152084 | Natalie Roberts | Nurse Practitioner | 8701 F St, Omaha, NE 68127-1504 | 2020-04-11 |
| 1982233532 | Jill Renae Sheffield | Nurse Practitioner | 2910 N 63rd St, Omaha, NE 68104-3352 | 2020-04-06 |
| 1669000733 | Jessica D Flowers | Nurse Practitioner | 6901 N 72nd St Ste 7500, Omaha, NE 68122-1709 | 2020-04-01 |
| 1639716665 | Tiffany Tesoro | Nurse Practitioner | 16957 Locust St, Omaha, NE 68116-2658 | 2019-12-10 |
| 1093272668 | Ricardo Osorio | Nurse Practitioner | 225 Us-75, Winnebago, NE 68071 | 2019-03-01 |
| 1538626213 | Emily Buttars | Nurse Practitioner | 220 W Leota St Ste 2, North Platte, NE 69101-6292 | 2019-02-28 |
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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.