JERRI LYN KETTMAN (NPI# 1881750115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881750115 |
| Entity Type | Individual |
| Full Name | JERRI LYN KETTMAN |
| Credential | RNC |
| Practice Address |
Fort Harrison Vamc 1892 Williams Street Fort Harrison MT 59636 |
| Mailing Address |
17 Bridger Mt Road South Clancy MT 59634 |
| Practice Telephone | 4064477596 |
| Practice Fax Number | 4094477965 |
| Mailing Telephone | 4064430140 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
MT | Nursing Service Providers |
| Street Address |
FORT HARRISON VAMC 1892 WILLIAMS STREET |
| City | FORT HARRISON |
| State | MT |
| Zip Code | 59636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780772921 | Beverly Ann Sickert-mchugh | Nurse Practitioner | Fort Harrison Vamc, Fort Harrison, MT 59636 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173717 | James Kevin Mowery | Registered Nurse | Va Montana Medical Center Emergency Department, 3687 Veterans Drive, Ft Harrison, MT 59636 | 2012-04-19 |
| 1639436983 | Kathleen Hulett | Registered Nurse | 3687 Veteran's Drive, Va Medical Center, Fort Harrison, MT 59636 | 2012-04-11 |
| 1437385093 | Madonna Therese Stepanek | Social Worker | 3684 Veterans Dr., Fort Harrison, MT 59636 | 2009-06-09 |
| 1083795553 | Anthony James Menichino | Surgery | 600 Williams Street, Fort Harrison, MT 59636 | 2006-10-18 |
| 1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
| 1346339389 | Dana Sue Nehring | Internal Medicine | 1892 William St, Fort Harrison, MT 59636 | 2006-10-11 |
| 1366540460 | Gregory Ross Johnson | Surgery | 1892 Williams St., Department of Surgery (112) Va Montana Healthcare, Fort Harrison, MT 59636 | 2006-09-20 |
| 1356459085 | Kurt E Werner | Family Medicine | 1892veterans Way, Va Hospital, Fort Harrison, MT 59636 | 2006-08-25 |
| 1588771604 | Susan Ann Askin | Internal Medicine | 1500 Williams St, Fort Harrison, MT 59636 | 2006-08-24 |
| 1447367651 | Paul Edwin Berner | Ophthalmology | 1952 Williams Street, Fort Harrison Va Medical Center, Fort Harrison, MT 59636 | 2006-08-24 |
| Find all providers in zip 59636 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679901037 | Matthew Moeser | Registered Nurse | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660097 | Karen Jean Johnson | Registered Nurse | 209 N 10th St Ste A, Hamilton, MT 59840-2357 | 2018-02-21 |
| 1013310655 | Sydney Blair | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2014-09-26 |
| 1902985419 | Kathleen A Dolezal | Registered Nurse | 616 Helena Ave, Helena, MT 59601-3654 | 2006-11-03 |
| 1356420863 | Kathleen A Dolezal Aprn PC | Registered Nurse | 616 Helena Ave, Helena, MT 59601-3654 | 2006-11-03 |
| 1750473831 | Ann E Fischer | Registered Nurse | 1245 N 29th St, Billings, MT 59101-0122 | 2006-09-28 |
| 1740203827 | Julie Ann Boehler | Registered Nurse | 1245 N 29th St, Billings, MT 59101 | 2006-07-26 |
| City | FORT HARRISON |
| Zip Code | 59636 |
Please comment or provide details below to improve the information on JERRI LYN KETTMAN.
| 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.