Dana K Kettmann, R.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3883 Airway Dr
Santa Rosa, CA 95403-1670

Phone

(707) 521-7735

NPI assigned

Oct 4, 2013

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)

Enrolled

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1336576347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR STE 202",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-521-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTMANN",
        "first_name": "DANA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Kesler, LCSW
• William Andrew Kesler, D.P.T.
• Michael Charles Christian Kessler
• Roberta P Kestler, DC
• Myles Julian Ketchum, M.D., PH.D.
• Jennifer Kettmann
• John Joseph Keturi, RNFA
• Keystone Therapy and Training Services Inc
• Leilani Juliza Khaleck
• Daniel Aman-Alfy Khaleel

• Registered Dietitian in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.