Active NPI
Brittney Lynn Ketelsen, PHARM D
- Pharmacist
- Dubuque, IA
National Provider Identifier
1700312857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22944
- Practice address
- 2541 Central Ave
Dubuque, IA 52001-3305 - Phone
- (563) 556-1493
- Fax
- (563) 556-1494
- NPI assigned
- May 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22944 | IA | Primary |
Addresses
Primary practice location
2541 Central Ave
Dubuque, IA 52001-3305
Mailing address
2541 Central Ave
Dubuque, IA 52001-3305
Phone (563) 556-1493
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22944 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Night Inc | Pharmacist | 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": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1700312857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2541 CENTRAL AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520013305",
"telephone_number": "563-556-1493",
"fax_number": "563-556-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2541 CENTRAL AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520013305",
"telephone_number": "563-556-1493",
"fax_number": "563-556-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETELSEN",
"first_name": "BRITTNEY",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.