Kaetlin H Jetton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106609 Issued in FL

Practice address

7800 US Highway 98 W # ER
Miramar Beach, FL 32550-7228

Phone

(850) 278-3600

NPI assigned

Jun 21, 2012

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15113/brand/1/csg/1/fhir/r4
• Direct secure messaging: kaetlin.jetton.1@9582.direct.athenahealth.com

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.

• Julie Staats DO Family Medicine

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1780222166
  NPD (past)
• Trout Lake Inpatient Services, LLC

  • Hospitalist Physician
  • Niceville, FL
  • NPI 1780026542
  NPD (past)
• Vale of Paradise Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Niceville, FL
  • NPI 1831522614
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1740543008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 98 W # ER",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 98 W # ER",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507228",
            "telephone_number": "850-278-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTON",
        "first_name": "KAETLIN",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sophia Janneck-Kowalewski, MD
• Jason E Baker DDS LLC
• Ronda Jenkins-Clark, MSN, FNP-C
• Eric K Jenkins, APRN
• Rachael Jett
• Jose R Jimenez, MD
• Shi'Neice Eriana Johnson, RBT
• Ronald Belle Johnston Jr., M.D.
• Lynde Jones
• Katherine Keane, MD

• Medical Physician Assistant in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.