Individual provider Active NPI

Ada Melba Ketcham

  • Interpreter
  • Woodinville, WA
National Provider Identifier
1811500440
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
MC5566 Issued in WA
Practice address
15010 NE 177TH Dr
Woodinville, WA 98072-9230
Phone
(206) 661-0850
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
InterpreterGroup: 193400000X SINGLE SPECIALTY GROUP 171R00000X MC5566 WA Primary

Addresses

Primary practice location

15010 NE 177TH Dr
Woodinville, WA 98072-9230

Mailing address

15010 NE 177TH Dr
Woodinville, WA 98072-9230
Phone (206) 661-0850

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

State licenses

LicenseStateTypeSpecialty
MC5566WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1811500440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 NE 177TH DR",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729230",
            "telephone_number": "206-661-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 NE 177TH DR",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729230",
            "telephone_number": "206-661-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "ADA",
        "middle_name": "MELBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC5566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.