Amanuel Ketema

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

541467 Issued in OH

Practice address

6807 Willow Bloom Dr
Canal Winchester, OH 43110-7819

Phone

(937) 250-3310

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1548166408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 WILLOW BLOOM DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107819",
            "telephone_number": "937-250-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 WILLOW BLOOM DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107819",
            "telephone_number": "937-250-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETEMA",
        "first_name": "AMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "541467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.