JENNIFER ANNE TENORIO KETCHAM CRNA
NPI 1073979746
Nurse Anesthetist, Certified Registered in Atlanta, GA

NPI Status: Active since January 11, 2016

Contact Information

1405 CLIFTON RD NE FL 3
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6670
Fax: (404) 785-1362

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  • Individual
  • Female
  • Nurse Anesthetist, Certified Registered

About JENNIFER KETCHAM

This page provides the complete NPI Profile along with additional information for Jennifer Ketcham, a provider established in Atlanta, Georgia with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1073979746 assigned on January 2016. The practitioner's primary taxonomy code is 367500000X with license number RN177251 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1073979746
Provider Name
JENNIFER ANNE TENORIO KETCHAM CRNA
Gender
Female
Entity Type
Individual
Location Address
1405 CLIFTON RD NE FL 3 ATLANTA, GA 30322
Location Phone
(404) 785-6670
Location Fax
(404) 785-1362
Mailing Address
1405 CLIFTON RD NE FL 3 ATLANTA, GA 30322
Mailing Phone
(404) 785-6670
Mailing Fax
(404) 785-1362
Is Sole Proprietor?
No
Enumeration Date
01-11-2016
Last Update Date
06-06-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN177251
License State
GA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073979746
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431871878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 8 + 7 + 1 + 8 + 7 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1073979746 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902984578 KIMBERLY SINGER MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1477005700 HANNAH SECUNDA CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1538326137 SHAWN C LEWIS CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1558945121 TAYLOR ROTELL PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1659467314 BRENTAN M EDWARDS PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1700135670 DENISE JANE FREDERICK CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1841947884 KIMBERLY SINGER MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1043539034 JENNIE NAHODYL PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1043565344 JESSE FARRIS PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1063531218 JAMES JOHN MOONEY MD
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1104169010 KINGSLEY DUNWOODY PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1104208958 LAUREN KEISTER PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1184821514 SHIVANI MUKKAMALA MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1205232949 VICTORIA FERNANDEZ PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1205264934 STEVEN LIN PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1225458342 MICHAEL CRAIG FIEDOREK MD
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1235168857 FIDEL LOPEZ PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1245678945 JOELLE BETH KARLIK MD
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1255508438 JAMIE KITZMAN MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1265748917 STEPHANIE GRANT MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073979746, enumerated in the NPI registry as an "individual" on January 11, 2016

The provider is located at 1405 Clifton Rd Ne Fl 3 Atlanta, Ga 30322 and the phone number is (404) 785-6670

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

This NPI record was last updated on January 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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