Ashley A Ketchum, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO.1820 Issued in AL

Practice address

1890 Alabama Highway 157
Suite 430
Cullman, AL 35058-0689

Phone

(256) 739-1575

Fax

(256) 517-9328

NPI assigned

Apr 1, 2015

Last updated

Sep 15, 2022By 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

Other names 1

• Ashley A Collins Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/93522848-eb1f-4ed3-b857-907cddfe003b/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438

  Pediatrics

  Medicare reassignment NPD
• Internal Medicine and Pediatrics of Cullman

  • Specialist
  • Cullman, AL
  • NPI 1326130550
  NPD
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1295120871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 ALABAMA HIGHWAY 157",
            "address_2": "SUITE 430",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-739-1575",
            "fax_number": "256-517-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 ALABAMA HIGHWAY 157",
            "address_2": "SUITE 430",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-739-1575",
            "fax_number": "256-517-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO.1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "COLLINS",
            "middle_name": "A",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael Kelsey, CRNP
• Lindsey Evan Kent (Walker), ATC
• Brady Kent
• Marissa Lynae Kent
• Jennifer Keough
• Kevin Johnson MD PC
• Kevin W. Neal, O.D., P.C.
• Ajmal Muhammad Khan, MD
• Stephanie Kilgo, BS
• David Yongtae Kim, DMD

• Pediatrics Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.