Active NPI
Yvonne Antoinette Kettels
- Acupuncturist
- Providence, RI
National Provider Identifier
1013880756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- DACMOO119
- Practice address
- 64 Crescent St
Providence, RI 02907-3237 - Phone
- (401) 533-3832
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | DACMOO119 | RI | Primary |
Addresses
Primary practice location
64 Crescent St
Providence, RI 02907-3237
Mailing address
64 Crescent St
Providence, RI 02907-3237
Phone (401) 533-3832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DACMOO119 | RI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1013880756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CRESCENT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073237",
"telephone_number": "401-533-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CRESCENT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073237",
"telephone_number": "401-533-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTELS",
"first_name": "YVONNE",
"middle_name": "ANTOINETTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "RI",
"license": "DACMOO119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.