HEATHER N KETRON


Address: 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027
Phone: 4232243701

HEATHER N KETRON (NPI# 1356891493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356891493
Entity Type Individual
Full Name HEATHER N KETRON
Credential NP
Practice Address 111 W Stone Dr
Suite 110
Kingsport
TN 37660-6027
Mailing Address 105 W Stone Dr
Suite 6a
Kingsport
TN 37660-3365
Practice Telephone 4232243701
Practice Fax Number 4232243709
Mailing Telephone 4234087220
Mailing Fax Number 4234087405
Enumeration Date 2016-10-13
Last Update Date 2016-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 162683 TN Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
0024174211 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
21921 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 111 W STONE DR
SUITE 110
City KINGSPORT
State TN
Zip Code 37660-6027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740284314 Robert Northrop Family Medicine 111 W Stone Dr, Ste 200, Kingsport, TN 37660-6027 2005-06-10
1720685217 Shayla Atkins Kilgore Nurse Practitioner 111 W Stone Dr, Kingsport, TN 37660-6027 2020-10-07
1063962728 Amanda A. Cantwell Nurse Practitioner 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-10-06
1346693868 Keressa L. Clark Nurse Practitioner 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-07-20
1184077158 Kayla J Joyce Nurse Practitioner 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-07-14
1093165102 Kathryn A. Harris Registered Nurse 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 2016-06-20
1609239425 Courtney L Bowles Nurse Practitioner 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-03-30
1598124398 Wellmont Medical Associates, Inc. Clinic/Center 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-02-22
1760848204 Kenneth S Burnette Registered Nurse 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 2016-01-14
1285006304 Nekisha S. Johnson Registered Nurse 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 2015-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750911202 Felicia Grace Berry Nurse Practitioner 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 2020-01-23
1205399508 Michael David Thacker Nurse Practitioner 100 Clinchfield St, Kingsport, TN 37660-3681 2019-04-12
1871058263 Lisa Marie Ketchem Nurse Practitioner 5039 Andrew St, Kingsport, TN 37660-6500 2019-02-10
1972067395 Alice Victoria Lilly Nurse Practitioner 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 2019-01-30
1720542376 Amanda Michelle Oliver Nurse Practitioner 404 Manor Dr Apt F, Kingsport, TN 37660-3471 2019-01-29
1750857439 Ashlee Fleming Nurse Practitioner 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 2018-10-19
1497220214 Melanie Creppel Bourgeois Nurse Practitioner 4606 Sundown Dr, Kingsport, TN 37664-6913 2018-10-08
1013493147 Cathy A Greenwood Nurse Practitioner 3136 Winesap Rd, Kingsport, TN 37663-2920 2018-07-11
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1235641630 Bethany Monique Rock Nurse Practitioner 3716 Thorngrove Dr, Kingsport, TN 37660-2243 2017-10-26
Find all providers in KINGSPORT

Competitor

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City KINGSPORT
Zip Code 37660

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Dataset Information

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.

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