SEDRA JO KETCHAM (NPI# 1578803045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578803045 |
| Entity Type | Individual |
| Full Name | SEDRA JO KETCHAM |
| Credential | APRN |
| Practice Address |
605c Douglas Dr Ashland MO 65010-9088 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 5736579354 |
| Practice Fax Number | 5736579694 |
| Mailing Telephone | 5736579354 |
| Mailing Fax Number | 5736579694 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2014013264 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2014013264 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201146940 | 05 | |
| KY | 7100256130 | 05 |
| Street Address |
605C DOUGLAS DR |
| City | ASHLAND |
| State | MO |
| Zip Code | 65010-9088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025307 | Nathaniel G Murphey | Family Medicine | 605c Douglas Dr, Ashland, MO 65010-9088 | 2006-06-01 |
| 1699267047 | Jane Isabelle Foreman | Nurse Practitioner | 605c Douglas Dr, Ashland, MO 65010-9088 | 2018-06-01 |
| 1285827428 | Physician Groups Lc | Family Medicine | 605c Douglas Dr, Ashland, MO 65010-9088 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699182956 | Marieflor Iringan Ferrell | Physical Therapist | 205 Sarah Drive, Ashland, MO 65010 | 2014-07-18 |
| 1508202888 | Kilgore Inc. | Durable Medical Equipment & Medical Supplies | 109 B Eastside Dr, Ashland, MO 65010 | 2013-05-14 |
| 1053435883 | Enjoy Great Health Chiropractic, PC | Chiropractor | 305 East Broadway, Suite C, Ashland, MO 65010 | 2007-03-19 |
| 1871511154 | Alicia M Lange | Physical Therapist | 115 East Broadway, Ashland, MO 65010 | 2006-07-17 |
| 1699755421 | Michael Corey Jones | Psychiatry & Neurology | 206 S College St, Ashland, MO 65010 | 2006-01-18 |
| 1740202829 | Cary J Calkins | Physical Therapy Assistant | 115 East Broadway, Ashland, MO 65010 | 2006-07-24 |
| 1447718929 | Natalie Bill Dowd | Chiropractor | 101 Redtail Dr Ste A, Ashland, MO 65010-1140 | 2019-03-04 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1437618014 | Natalie Bill Dowd, LLC | Chiropractor | 101 Redtail Dr Ste A, Ashland, MO 65010-1140 | 2019-03-13 |
| 1841428687 | The Terrace Group, Inc | Assisted Living Facility | 102 Redtail Dr, Ashland, MO 65010-1179 | 2009-07-01 |
| Find all providers in zip 65010 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235198 | Jennifer Lynn Howard | Nurse Practitioner | 2703 Campbell St, Ashland, KY 41102-4362 | 2018-05-16 |
| 1649636770 | Kristina Lyn Smith | Nurse Practitioner | 163 County Road 7, Ashland, NE 68003-1173 | 2016-01-05 |
| 1992949168 | Ann M Batdorf | Nurse Practitioner | 1808 Centre St, Ashland, PA 17921-1123 | 2009-05-01 |
| 1972580595 | Karin Diann Schwan | Nurse Practitioner | 2212 Mifflin Ave, Suite 220, Ashland, OH 44805-8848 | 2005-12-23 |
| 1790317048 | Adrianne Blankenship | Nurse Practitioner | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-02-05 |
| 1629611751 | Andrea Jo Tackett | Nurse Practitioner | 2500 State Route 5, Ashland, KY 41102-9102 | 2019-10-22 |
| 1003332834 | Mallory Erin Cummings | Nurse Practitioner | 100 Medical Dr, Ashland, VA 23005-1125 | 2017-08-14 |
| 1841713922 | Todd William Hellmich | Nurse Practitioner | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2017-07-20 |
| 1689028524 | Victoria Willis | Nurse Practitioner | 2021 Baney Rd S, Mid Ohio Internal Medicine, Ashland, OH 44805-4574 | 2016-04-18 |
| 1851771729 | Amy Little Jones | Nurse Practitioner | 83745 Highway 9, Suite B, Ashland, AL 36251-7988 | 2015-06-04 |
| Find all providers in ASHLAND | ||||
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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.