MS. KIMBERLY A KETTER (NPI# 1912263609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912263609 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY A KETTER |
| Credential | AGNP-C |
| Practice Address |
700 S Sycamore St Petersburg VA 23803-5802 |
| Mailing Address |
Po Box 38004 Richmond VA 23231-0804 |
| Practice Telephone | 8043245051 |
| Practice Fax Number | 8043245049 |
| Mailing Telephone | 8048738389 |
| Mailing Fax Number | 8043245049 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
0001142669 | VA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024173081 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689814196 | Kimberly Ketter | Registered Nurse | W5451 Abel Dr, Fond Du Lac, WI 54937-7795 | 2009-02-23 |
| Street Address |
700 S SYCAMORE ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861460057 | John Talmadge Marshall | Internal Medicine | 700 S Sycamore St, Suite 4, Petersburg, VA 23803-5802 | 2006-03-14 |
| 1811532641 | Raven Denita Daniels | Counselor | 700 S Sycamore St, Petersburg, VA 23803-5802 | 2019-11-15 |
| 1124482336 | Shaun Rivers | Clinical Nurse Specialist | 700 S Sycamore St, Suite 1, Petersburg, VA 23803-5802 | 2016-04-13 |
| 1922468859 | Case Management Associates LLC | Clinical Nurse Specialist | 700 S Sycamore St, Suite 1, Petersburg, VA 23803-5802 | 2016-03-04 |
| 1326483579 | Cheryl Denise Winston | Nurse Practitioner | 700 S Sycamore St, Petersburg, VA 23803-5802 | 2013-05-01 |
| 1841533627 | Monica Shunita Allen | Nurse Practitioner | 700 S Sycamore St, Ste #, Petersburg, VA 23803-5802 | 2013-03-31 |
| 1245422674 | Sakuntla Pllc | Clinic/Center | 700 S Sycamore St, Suite 2b, Petersburg, VA 23803-5803 | 2007-08-09 |
| 1356471247 | John T. Marshall M.d P.c | Clinic/Center | 700 S Sycamore St, Suite 1, Petersburg, VA 23803-5802 | 2007-03-07 |
| 1447365945 | Central Virginia Oncology, Inc. | Specialist | 700 S Sycamore St, Ste 10, Petersburg, VA 23803 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124225701 | Gladys Virlyn Blowe | Nurse Practitioner | 26317 W. Washington Street, Petersburg, VA 23803 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
| 1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1093324469 | Grace A Odallo | Nurse Practitioner | 3441 Raytee Dr, Chesapeake, VA 23323-1230 | 2020-07-30 |
| 1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
| 1467070342 | Amanda K Whitley | Nurse Practitioner | 401 Gordon Ave, Bristol, VA 24201-4106 | 2020-07-08 |
| 1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
| 1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
| 1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
| 1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on MS. KIMBERLY A KETTER.
| 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.