Marta Elisa Ketter, SLP M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.004438 Issued in IL

Practice address

306 W Mill St
Carbondale, IL 62901-2727

Phone

(618) 529-3060

Fax

(618) 529-3847

NPI assigned

Nov 15, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1306180377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KRYSHER RD",
            "city": "MAKANDA",
            "state": "IL",
            "postal_code": "629582423",
            "telephone_number": "618-967-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MILL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012727",
            "telephone_number": "618-529-3060",
            "fax_number": "618-529-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "MARTA",
        "middle_name": "ELISA",
        "credential": "SLP M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardner Thomas Kenny, M.D.
• Christopher Ryan Kent
• Teresa Ann Kent, LCSW, ACSW
• Emily Elise Kermicle, PA-C
• Sarah Kertz, PH.D.
• Refat Daherdiab Khader, M.D.
• Muhammad A Khan, MD
• Rizwan Ahmad Khan, M.D.
• Saqib Khan, MD
• Areen Khodabakhshian, MD

• Speech-Language Pathologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.