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KIRSTEN MICAELA KETCHERSID
NPI 1295475788
Nurse Practitioner - Pediatrics in Dallas, TX

Active since March 31, 2022
12895 JOSEY LN STE 114, DALLAS, TX 75234(972) 532-9967(972) 495-2287 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirsten Micaela Ketchersid NPPES

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

KIRSTEN MICAELA KETCHERSID (NPI 1295475788) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (1019995) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1295475788
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIRSTEN MICAELA KETCHERSID
Location Address12895 JOSEY LN STE 114Dallas, TX 75234-8300
Mailing Address14100 San Pedro Ave Ste 412San Antonio, TX 78232-2009 · (210) 281-8669 · Fax (210) 314-5044
Phone(972) 532-9967
Fax(972) 495-2287
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1295475788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1019995
12895 JOSEY LN STE 114, Dallas, TX 75234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

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 Kirsten Ketchersid's NPI number?

The NPI number for Kirsten Ketchersid is 1295475788. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Kirsten Ketchersid located?

Kirsten Ketchersid practices at 12895 Josey Ln Ste 114, Dallas, TX 75234. The listed phone number is (972) 532-9967.

What is Kirsten Ketchersid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Kirsten Ketchersid accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Kirsten Ketchersid as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirsten Ketchersid was last updated on March 31, 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.