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KATELYNNE KETCHUM RBT
NPI 1003579384
Foster Care Agency in Flagstaff, AZ

Active since October 14, 2021
3480 E ROUTE 66, FLAGSTAFF, AZ 86004(928) 438-9985(317) 520-8200 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Nov 4, 2025, Oct 14, 2021 (3 updates tracked since 2021).

About Katelynne Ketchum Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNNE KETCHUM RBT (NPI 1003579384) is an individual foster care agency provider in Flagstaff, Arizona and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1003579384
Entity TypeIndividualFemale
Primary Taxonomy253J00000X
Provider Legal NameKATELYNNE KETCHUMCredential: RBT
Location Address3480 E ROUTE 66Flagstaff, AZ 86004-4032
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(928) 438-9985
Fax(317) 520-8200
Sole ProprietorYes
Enumeration DateOctober 14, 2021
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1003579384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-188875 (AZ)
Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X
3480 E ROUTE 66, Flagstaff, AZ 86004
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALLIN WHETTEN RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
KYLER GREEN RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
DR. CODY RAY PLAISTED PHARM. D
Pharmacist
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (307) 399-5957
SEELY HAUGER RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
HOPE J GONZALES RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
AUBREY HENRIE RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
MICHELLE SEBASTIAN RBT
Behavior Technician
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 438-9985
MR. JAMES PATRICK STUMPFF RPH
Pharmacist
3480 E ROUTE 66
FLAGSTAFF, AZ 86004
Coconino County (928) 863-7331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelynne Ketchum's NPI number?

The NPI number for Katelynne Ketchum is 1003579384. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Katelynne Ketchum located?

Katelynne Ketchum practices at 3480 E Route 66, Flagstaff, AZ 86004. The listed phone number is (928) 438-9985.

What is Katelynne Ketchum's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Katelynne Ketchum was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.