Marilyn Carmela Ketchum, RN, CANP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

4704149979 Issued in MI

Practice address

2310 E Michigan Ave
Lansing, MI 48912-4018

Phone

(517) 346-7628

Fax

(517) 346-7629

NPI assigned

Feb 16, 2010

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Adult Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1629390810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124018",
            "telephone_number": "517-346-7628",
            "fax_number": "517-346-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124018",
            "telephone_number": "517-346-7628",
            "fax_number": "517-346-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "MARILYN",
        "middle_name": "CARMELA",
        "name_prefix": "Ms.",
        "credential": "RN, CANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704149979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Kessel
• Theresa Kessler-Geml
• Mary Ann Kessler
• Michael F. Kessler, LMSW
• Jennifer Susanne Ketchum, LMT
• Nicole Elizabeth Keverne
• Kevin Howard, D.O., P.C.
• Kevin R Murphy D.D.S.
• Key Concepts Counseling and Consulting
• Kevin Keyes, DO

• General Practice Registered Nurse in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.