MRS. KELLY ANN KETCHAM (NPI# 1750767356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750767356 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN KETCHAM |
| Credential | RN, CPHQ |
| Practice Address |
69 Richardson Ave Monticello NY 12701-2212 |
| Practice Telephone | 8457948830 |
| Mailing Telephone | 8457948830 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 328558 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144618158 | Kelly Ketcham | Specialist/Technologist | 5900 Elvas Ave, Sacramento, CA 95819-4341 | 2014-12-27 |
| Street Address |
69 RICHARDSON AVE |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184900524 | Pamela Ann Shimer | Registered Nurse | 69 Richardson Ave, Monticello, NY 12701-2212 | 2011-10-31 |
| 1760900906 | Nancy Lynn Soldwedel I | Registered Nurse | 69 Richardson Ave, Monticello, NY 12701-2212 | 2017-09-08 |
| 1164836854 | Tamika Moore | Registered Nurse | 69 Richardson Ave, Monticello, NY 12701-2212 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088146 | Kristine Atakora | Registered Nurse | 661 W Broadway Apt 3, Monticello, NY 12701-7136 | 2018-06-28 |
| 1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
| 1558874818 | Matthew L Wood | Registered Nurse | 128 Ross Ave, Monticello, AR 71655-4250 | 2017-11-09 |
| 1922526284 | Julie Merfeld | Registered Nurse | 818 W 1st St Ste 100, Monticello, IA 52310-1314 | 2017-09-06 |
| 1164951174 | Keith M Ward | Registered Nurse | 4489 Ashville Hwy, Monticello, FL 32344-4881 | 2017-06-05 |
| 1912377524 | Valerie Stoll | Registered Nurse | 9460 Giffort Ct, Monticello, MN 55362-7000 | 2015-09-25 |
| 1467841916 | Kerrilynn Mears | Registered Nurse | 559 Cold Spring Rd, Monticello, NY 12701-4257 | 2015-01-21 |
| 1578971685 | Doreen Murray | Registered Nurse | 40 Summit Ave, Monticello, NY 12701-1853 | 2014-08-01 |
| 1841607595 | Jackie Guyton | Registered Nurse | 960 Rocky Branch Rd, Monticello, FL 32344-2706 | 2014-07-15 |
| 1639585771 | Colleen Mccallion | Registered Nurse | 5 Terry Ln, Monticello, NY 12701-5637 | 2014-07-09 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
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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.