What is Ketha Nickelson's NPI number?

Ketha Nickelson's National Provider Identifier (NPI) is 1073125621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ketha Nickelson's specialty?

Ketha Nickelson is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Ketha Nickelson located?

Ketha Nickelson's practice location on file with NPPES is 1515 Brush Run Rd, Gay, WV 25244-9090.

What is Ketha Nickelson's phone number?

The practice phone number listed in the NPPES registry for Ketha Nickelson is (304) 531-5832.

Is Ketha Nickelson's NPI active?

Yes — Ketha Nickelson's NPI (1073125621) is active in the NPPES registry as of the last update on 2020-08-17.

IndividualActive

Ketha Nickelson

NPI 1073125621 · Personal Care Attendant · Gay, WV

Ketha Nickelson is a Personal Care Attendant provider in Gay, WV (NPI 1073125621).

Provider details

NPI number: 1073125621
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1515 Brush Run Rd

Gay, WV 25244-9090

Phone: (304) 531-5832

Street-level locationGet directions

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Mailing address