Kelsey Lynn Ketterman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9900 Krause Rd
Chesterfield, VA 23832-6535

Phone

(804) 748-1434

NPI assigned

Jul 22, 2022

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

Practice roles

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.

• Chesterfield County Public Schools

  • Local Education Agency (LEA)
  • Chesterfield, VA
  • NPI 1184996092
  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1497480420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 FARRELLS WEST AVE APT 540",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295563",
            "telephone_number": "302-542-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 KRAUSE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326535",
            "telephone_number": "804-748-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERMAN",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germaine Kelley-Pope, MSN APRN PMHNP-BC
• Sandra Ferguson Kent, M.ED., CCC/SLP
• Kelly Renee' Kerrigan, RN
• Kery Ann Rosette
• Kayla Ketron, M.S., CCC-SLP
• KF Professional Service LLC (Transformation Doula Services)
• Veda King Blanchard, NJLMT, VALMT, BCTMB
• Earl Lindwood King Sr., CMT, PT
• Bradley S. Kirchner, O.D.
• Leila Kissick, DNP

• Speech-Language Pathologist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.