KETTELY DEVARISTE (NPI# 1114969524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114969524 |
| Entity Type | Individual |
| Full Name | KETTELY DEVARISTE |
| Practice Address |
3622 Ne 13th Ave Cape Coral FL 33909-6415 |
| Mailing Address |
13421 Bristol Park Way Fort Myers FL 33913-7835 |
| Practice Telephone | 2392922233 |
| Mailing Telephone | 2392257905 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN9181978 | FL | Nursing Service Providers |
| Street Address |
3622 NE 13TH AVE |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33909-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
| 1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
| 1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
| 1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
| 1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
| 1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
| 1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
| 1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
| 1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
| 1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
| Find all providers in zip 33909 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639697741 | Kristina Michelle Revell | Registered Nurse | 11552 Nw Summers Rd, Bristol, FL 32321-3344 | 2017-09-08 |
| 1760701197 | Racheal R Santarpia | Registered Nurse | 3300 West Lake Mary Blvd., Suite 100, Nemours Childrens Clinic, Lake Mary, Lake Mary, FL 32746-4885 | 2010-05-25 |
| 1831301936 | Clara Sirolli Fregeolle | Registered Nurse | Hospital Based Neonatal Nurse Practitioner, 1550 Madruga Ave Suite 220, Coral Gables, FL 33146 | 2007-05-03 |
| 1326660978 | Jacqueline Frazer | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2009 | 2020-05-16 |
| 1649892324 | Angela Ellen Mckee | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-05-15 |
| 1487283024 | Darianna Rosado Isales | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-04-06 |
| 1841827052 | Darline Ruiz | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-03-26 |
| 1881226835 | Jasmine Taylor | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-02-07 |
| 1023654357 | Trina Renee Williams | Registered Nurse | 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082-4098 | 2019-11-21 |
| 1124662218 | Adrienne Clayton | Registered Nurse | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33909 |
Please comment or provide details below to improve the information on KETTELY DEVARISTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.