Kettia Fenestor

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

ED61JHDY3I Issued in NH

Practice address

79 South River Road
My Salon Suite Suite 104
Bedford, NH 03110

Phone

(347) 770-0055

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1275401168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SOUTH RIVER ROAD",
            "address_2": "MY SALON SUITE SUITE 104",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "347-770-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SOUTH RIVER ROAD",
            "address_2": "MY SALON SUITE SUITE 104",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "347-770-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENESTOR",
        "first_name": "KETTIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NH",
            "license": "ED61JHDY3I",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NH",
            "license": "ED61JHDY3I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin L Farrar, RN
• Jamie Lyn Faulhaber, LCMHC
• Nicole K Feinauer, ATC, PTA
• Marley Felix
• Lisa Ann Femia-Hou, PH.D.
• Keri Feole-Casinelli, LMFT
• Amy Fernald, APRN
• Angel A Fernandez Segura, MD
• Kevin Ferst, L.AC.
• Sarah Rani Anika Ferst, L.AC

• Prosthetist in Bedford, NH
• Providers in Bedford, NH by specialty
• Prosthetist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.