MISS SUSAN ADELE KETCHAM MSN RN AGCNS-BC CPAN
NPI 1689345365
Clinical Nurse Specialist - Adult Health in Charlottesville, VA

Active since September 23, 2021
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 297-6016 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Susan Adele Ketcham Msn Rn Agcns-bc Cpan NPPES

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

MISS SUSAN ADELE KETCHAM MSN RN AGCNS-BC CPAN (NPI 1689345365) is an individual adult health provider in Charlottesville, Virginia, licensed in Virginia (0024182547) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1689345365
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMISS SUSAN ADELE KETCHAMCredential: MSN RN AGCNS-BC CPAN
Location Address1215 LEE STCharlottesville, VA 22908-0816
Mailing Address152 Timber Ridge LnZion Crossroads, VA 22942-6981 · (617) 283-1502
Sole ProprietorNo
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1689345365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in VA · 0024182547
1215 LEE ST, Charlottesville, VA 22908

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.

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Susan Ketcham's NPI number?

The NPI number for Susan Ketcham is 1689345365. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Susan Ketcham located?

Susan Ketcham practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 297-6016.

What is Susan Ketcham's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Susan Ketcham was last updated on September 23, 2021. 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.