Cassandra Jorie Ketchum

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

133662 Issued in OK

Practice address

406 Lakeview Ave
Healdton, OK 73438-3246

Phone

(541) 993-5553

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cassie Ketchum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1144182007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LAKEVIEW AVE",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734383246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LAKEVIEW AVE",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734383246",
            "telephone_number": "541-993-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "CASSANDRA",
        "middle_name": "JORIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "133662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "KETCHUM",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Elise Floyd
• Gary T. Brewer
• Jordan Harvey
• Healdton Municipal Hospital
• Healdton Municipal Hospital (SNF)
• KND Enterprises LLC
• Mark W. Newey, DO Inc.
• Mercy Hospital Healdton, Inc
• Mercy Hospital Healdton, Inc.
• Mercy Hospital Healdton, Inc.

• All providers in Healdton, OK
• Emergency Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.