{"npi":"1578803045","type":"NPI-1","status":"active","name":{"display":"Sedra Ketcham APRN","other":[],"first":"SEDRA","last":"KETCHAM","middle":"JO","credential":"APRN"},"specialty":{"primary_taxonomy":"363LA2200X","primary_taxonomy_description":"Adult Health Nurse Practitioner","slug":"adult-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":true,"state":"IN","license":"71010526A"},{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":"MO","license":"2014013264"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":false,"state":"MO","license":"2014013264"}]},"addresses":[{"purpose":"LOCATION","street_1":"615 N MICHIGAN ST","city":"SOUTH BEND","state":"IN","postal_code":"466011033","country_code":"US","street_2":"1ST FL HOSPITALIST STE","phone":"5746473050"},{"purpose":"MAILING","street_1":"3245 HEALTH DRIVE","city":"GRANGER","state":"IN","postal_code":"465303245","country_code":"US","street_2":"SUITE 100","phone":"5746471840"}],"license":{"state":"IN","number":"71010526A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300044987","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100256130","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201215000476","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IN","pac_id":"6002054756"}]},"enumeration_date":"2013-02-21","last_updated":"2023-05-01","_meta":{"source":"NPPES","snapshot_date":"2023-05-01","doc_url":"https://findmynpi.com/api"}}