Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043561590 Individual Practitioner Female Practitioner

Autumn Ketcher

Specialist • Welling, OK

Professional Overview & Biography Verified Profile Summary

Autumn Ketcher is a registered healthcare professional specializing in Specialist in Welling, OK. Practice services are available at 27753 S WELLING RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

27753 S Welling Rd

Welling, OK 744712202

Telephone 9184575595
Associated Practice Facility / Clinic
🏢 Lake Country Healthcare Llc Facility NPI 1942215561

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Welling, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Welling, OK (463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tanesha Carter

Case Manager/Care Coordinator

NPI 1013406669
Melissa Kelley

Case Manager/Care Coordinator

NPI 1043180821
Becky Gonelli

Counselor

NPI 1053734079
Debra Shepherd , MS

Counselor - Professional

NPI 1083988430

Master of Science

Leah Smith , RN

Registered Nurse

NPI 1093551459

Registered Nurse

Sandra Girdner , BS

Case Manager/Care Coordinator

NPI 1134559297

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2012

Registered at 27753 S WELLING RD, WELLING, OK 744712202 (Tel: 9184575595)

📍
Updated Business Mailing Address September 24, 2012

Registered at 27753 S WELLING RD, WELLING, OK 744712202 (Tel: 9184575595)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as AUTUMN KETCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Specialist

🟢
Initial NPI Registration & Enumeration September 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043561590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2012
Last Update: September 24, 2012
Sole Proprietor: No

Mailing Address

27753 S Welling Rd

Welling, OK 744712202

Phone: 9184575595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.