Carolyn Kettelson, CSCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

299994241 Issued in FL

Practice address

9130 Galleria CT
Suite 103
Naples, FL 34109-4380

Phone

(230) 449-4747

Fax

(239) 790-5035

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

No

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1750792701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 GALLERIA CT",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094380",
            "telephone_number": "230-449-4747",
            "fax_number": "239-790-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 GALLERIA CT",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094380",
            "telephone_number": "230-449-4747",
            "fax_number": "239-790-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTELSON",
        "first_name": "CAROLYN",
        "credential": "CSCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "299994241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Brian Kerle, CRNA
• Katherine J Jean Kerr, RCSWI, CDP
• Timothy L. Kerwin, MD
• Ketan Trivedi MD, PLLC
• Angelique Ketis
• Kevin P Rosenbach, MD PA
• Kevin R Smith DC, LLC
• Key Practice Management Solutions LLC
• Keys to Communication, Inc
• Symphony Tamone Keys, OTR

• Case Manager/Care Coordinator in Naples, FL
• Providers in Naples, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.