Suzanne Lynn Ketterhagen, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1531-60 Issued in WI

Practice address

218 Island St
Chippewa Falls, WI 54729-2351

Phone

(715) 726-0931

NPI assigned

Oct 30, 2017

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

State licenses

Practice roles

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.

• Mid West Hearing LLC

  • Hearing Aid Equipment
  • Madison, WI
  • NPI 1457522393
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912419904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ISLAND ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292351",
            "telephone_number": "715-726-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ISLAND ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292351",
            "telephone_number": "715-726-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 Red Cedar St",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512338",
            "country_code": "US",
            "telephone_number": "715-726-0931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 3rd Ave W Ste E",
            "address_purpose": "LOCATION",
            "city": "Durand",
            "state": "WI",
            "postal_code": "547361165",
            "country_code": "US",
            "telephone_number": "715-726-0931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTERHAGEN",
        "first_name": "SUZANNE",
        "middle_name": "LYNN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1531-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vallie M Kaprelian, MD
• Susan Anne Kasik-Miller, MS, RD, CNSC
• Wahab A Kazi, M.D.
• Alahna Jo Keil, AUD
• Katherine Stolp Keisler, FNP-BC
• Margaret Ann Khan, M.D.
• Rachel Kilde, LCSW, CSAC
• Briana L. Kirt, MD
• Chris Allen Klay, PT
• Rick A Klein, DO

• Hearing Instrument Specialist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.