Pheona Ketter, REGISTERED NURSE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4785 E 91St St Ste a
Tulsa, OK 74137-2839

Phone

(918) 313-4458

NPI assigned

Mar 19, 2025

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

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1679374417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S HEMLOCK CT",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127602",
            "telephone_number": "918-951-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 E 91ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372839",
            "telephone_number": "918-313-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "PHEONA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketcen of Tulsa LLC
• Melanie Nyeh Ketchandji, M.D
• Kasi Melissa Ketcher, APRN-CNP
• Desmond E Ketter, LPC
• Katherine Queen Ketter
• Anna Maria Kettlewood, MSW, LCSW
• John J Keveney Jr., MD
• Key Health Tulsa, LLC
• Evan Christopher Key
• Jill Christian Key, RN

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.