Active NPI
Donna Ann Ketcheson, CNP, CNM, MSN
- Women's Health Nurse Practitioner
- Denver, CO
National Provider Identifier
1467441709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- C-APN.0003167-C-NP
- Practice address
- 7155 E 38TH Ave
Denver, CO 80207-1630 - Phone
- (303) 321-2458
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | C-APN.0003167-C-NP | CO | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | RN14892 | NM |
Addresses
Primary practice location
7155 E 38TH Ave
Denver, CO 80207-1630
Mailing address
701 San Mateo Blvd NE # Ne7
Albuquerque, NM 87108-1434
Phone (505) 265-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000195896 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0003167-C-NP | CO | MD | Women's Health Nurse Practitioner |
| RN14892 | NM | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafuah Tov Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1467441709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SAN MATEO BLVD NE # NE7",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081434",
"telephone_number": "505-265-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 E 38TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802071630",
"telephone_number": "303-321-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHESON",
"first_name": "DONNA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CNP, CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "C-APN.0003167-C-NP",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "RN14892",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000195896",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.