Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Nicolette Mcdermott-Ketchum, PAC

Physician Assistant in Kayenta, AZ · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417947813

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Registry record

Entity type Individual (Type 1)

Name Ms. Nicolette Mcdermott-Ketchum

Credential PAC

Sex Female

Practice address Hwy 160 & Mp 394.3, Kayenta, AZ, 86033

Phone (928) 697-4000

Enumeration date Oct 26, 2005

Last updated in NPPES Jan 3, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA20030034 (NM) Primary

Other identifiers

Identifier	Type	State	Issuer
61276031	Medicaid	CO	-
803727	Medicaid	AZ	-
40907503	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Nicolette Mcdermott-Ketchum practice?

The practice location on file with NPPES is in Kayenta, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Nicolette Mcdermott-Ketchum?

The National Provider Identifier (NPI) for Nicolette Mcdermott-Ketchum is 1417947813, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-03.