Nicolette Mcdermott-Ketchum, PAC
NPI 1417947813 · Physician Assistant · Kayenta, AZ
Nicolette Mcdermott-Ketchum, PAC is a Physician Assistant provider in Kayenta, AZ (NPI 1417947813).
Provider details
- NPI number
- 1417947813
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA20030034 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- US Hwy 491 NorthShiprock, NM 87420Phone: (505) 368-6401Fax: (505) 368-6431
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2019-01-03
Frequently asked questions
- What is Nicolette Mcdermott-Ketchum's NPI number?
- Nicolette Mcdermott-Ketchum's National Provider Identifier (NPI) is 1417947813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicolette Mcdermott-Ketchum's specialty?
- Nicolette Mcdermott-Ketchum is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicolette Mcdermott-Ketchum located?
- Nicolette Mcdermott-Ketchum's practice location on file with NPPES is Hwy 160 & Mp 394.3, Kayenta, AZ 86033.
- What is Nicolette Mcdermott-Ketchum's phone number?
- The practice phone number listed in the NPPES registry for Nicolette Mcdermott-Ketchum is (928) 697-4000.
- Is Nicolette Mcdermott-Ketchum's NPI active?
- Yes — Nicolette Mcdermott-Ketchum's NPI (1417947813) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.