MISS TERESA KETTMAN


Address: 533 N Nova Rd, Ormond Beach, FL 32174-4447
Phone: 3868985003

MISS TERESA KETTMAN (NPI# 1558871905) 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) 1558871905
Entity Type Individual
Full Name MISS TERESA KETTMAN
Credential MA
Practice Address 533 N Nova Rd
Ormond Beach
FL 32174-4447
Mailing Address 7 Radnor Pl
Palm Coast
FL 32164-5016
Practice Telephone 3868985003
Mailing Telephone 9043926545
Enumeration Date 2017-10-11
Last Update Date 2019-04-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor FL Behavioral Health & Social Service Providers
Y 101YS0200X Counselor
Specialization: School
975178 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1009 Maitland Center Commons Blvd, Maitland, FL 327517270 8008402528

Office Location

Street Address 533 N NOVA RD
City ORMOND BEACH
State FL
Zip Code 32174-4447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538161211 Christine Barbara Herman Social Worker 533 N Nova Rd, Suite 203, Ormond Beach, FL 32174-4447 2005-08-12
1861039075 Saima Guice Counselor 533 N Nova Rd, Ormond Beach, FL 32174-4447 2019-12-06
1497314587 Rachel Leigh Dawson Counselor 533 N Nova Rd, Ormond Beach, FL 32174-4447 2019-06-11
1346708013 Winona Squires-propper Marriage & Family Therapist 533 N Nova Rd, Ormond Beach, FL 32174-4447 2019-03-12
1366900268 Karen Sue Wietzel Counselor 533 N Nova Rd, Ormond Beach, FL 32174-4447 2019-03-10
1871060871 Rachel O'connor Marriage & Family Therapist 533 N Nova Rd, Ormond Beach, FL 32174-4447 2018-10-28
1942782248 Cook Counseling Clinic/Center 533 N Nova Rd, Ormond Beach, FL 32174-4447 2018-09-04
1598297087 Daniel Gierbolini Chiropractor 533 N Nova Rd, Suite 114, Ormond Beach, FL 32174-4447 2017-04-03
1013468313 Self Quest Counseling, LLC Social Worker 533 N Nova Rd, Suite 203, Ormond Beach, FL 32174-4447 2016-10-21
1619428570 Dawn Christina Campbell Counselor 533 N Nova Rd, Suite 204, Ormond Beach, FL 32174-4447 2016-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215574991 Case Vision Pa Optometrist Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 2019-12-02
1235797143 Galia Leilani Medrano Ramirez Dentist 1274 W. Granada Blvd, Ormond Beach, FL 32174 2019-06-05
1295299220 Jessica Johnson Hills Nurse Practitioner 1400 Hand Ave Ste K, Ormond Beach, FL 32174 2019-01-23
1437507043 Natasha Jairam Family Medicine Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 2016-05-25
1871956540 Lisa Anne Parissi Chiropractor 157 Kimberly Drive, Ormond Beach, FL 32174 2016-03-31
1023477940 Ambassador Health Services, Inc In Home Supportive Care 136 N Orchard St Ste 1, Ormond Beach, FL 32174 2016-02-19
1619341518 Maria Rogers Optometrist 9 Abacus Ave, Ormond Beach, FL 32174 2015-11-16
1285003830 Sydney Kalin Neuhardt Nurse Practitioner 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 2015-09-24
1194107821 Jerusha Thacker Case Manager/Care Coordinator 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 2015-06-18
1730569971 Daniel Joseph Lapolla Physical Therapy Assistant 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 2015-06-03
Find all providers in zip 32174

Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609486448 Getzabel Garcia Counselor 304 58th Ave E, Bradenton, FL 34203-6247 2020-08-06
1073123402 Sabrina Thomas Counselor 9380 Nw 35th Mnr, Sunrise, FL 33351-6409 2020-07-31
1891346805 G3 Life Applications Inc. Counselor 6403 N 45th St, Tampa, FL 33610-3980 2019-09-23
1831756618 Second Chance Help Center, Inc. Counselor 1506 Ribault Scenic Dr, Jacksonville, FL 32208-3111 2019-05-28
1225692262 Pierre Armand Moreau Counselor 16295 Sw 19th St, Miramar, FL 33027-4459 2019-04-25
1700343381 Danielle Esterial Richardson Counselor 3312 Ridgeview Dr, Green Cove Springs, FL 32043-7057 2019-03-01
1003389446 Suzette Facey Counselor 2040 Hamlin St, Naples, FL 34120-5322 2019-01-08
1235609371 Joanne Farthing Counselor 1649 Crump Rd, Winter Haven, FL 33881-9200 2018-12-02
1356818926 Crisda Learning Center Counselor 7915 Nw 2nd St, Miami, FL 33126-8000 2018-10-31
1558879908 Christine Schmidt Thompson Counselor 7220 Waters Way, Englewood, FL 34224-8915 2018-01-19
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Competitor

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City ORMOND BEACH
Zip Code 32174

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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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