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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | RN177251 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1968 Peachtree Rd Nw, Atlanta, GA 303091281 | 4043511745 | 4043511721 |
Street Address |
1405 CLIFTON RD NE |
City | ATLANTA |
State | GA |
Zip Code | 30322-1281 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30322 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(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. |
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 |
Find all providers in ATLANTA |
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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.