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

Q: What is Jennifer Ketcham's NPI number?

The NPI number for Jennifer Ketcham is 1073979746. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Jennifer Ketcham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ketcham was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 11, 2016

1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021, Jan 17, 2019 and 1 more (4 updates tracked since 2016).

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About Jennifer Anne Tenorio Ketcham Crna NPPES

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

JENNIFER ANNE TENORIO KETCHAM CRNA (NPI 1073979746) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN177251) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1073979746

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJENNIFER ANNE TENORIO KETCHAMCredential: CRNA

Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060

Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362

Phone(404) 785-6670

Fax(404) 785-1362

Sole ProprietorNo

Enumeration DateJanuary 11, 2016

Last NPPES UpdateJune 6, 20224 updates tracked since enumeration

✔ NPI 1073979746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in GA · RN177251

Definition

(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.

1405 CLIFTON RD NE FL 3, Atlanta, GA 30322

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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.

MATTHEW LEWIS PAA

Anesthesiologist Assistant