Clinic Ketamine PC
NPI 1669005336ActiveOrganization· Nurse Anesthetist, Certified Registered· Seguin, TX
Nurse Anesthetist, Certified Registered in Seguin, Texas, registered in NPPES in February 2020. The authorized official on file is John Christopher Kipple, APRN, MS, CRNA, President.
Overview
| NPI | 1669005336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2020 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Nov 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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