Kaydian Suzzette Wedderburn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9587455 Issued in FL

Practice address

1070 Cypress Fox Blvd
Davenport, FL 33897-9512

Phone

(615) 752-1729

NPI assigned

May 22, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1033902184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CYPRESS FOX BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979512",
            "telephone_number": "615-752-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CYPRESS FOX BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979512",
            "telephone_number": "615-752-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDERBURN",
        "first_name": "KAYDIAN",
        "middle_name": "SUZZETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95259481",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "873691",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9587455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Wallace
• Kaysey Wann, MA, EDM, NCSP, LSP
• Christian Sean Watkins
• Heather Watson, PHARM.D.
• Leah Dare Weaver, PA
• Joshua Weinberger, D.D.S.
• Meryle Weiss, LCSW
• West Coast Dental Partners
• Portia P White
• Nanette Whitman, LMT

• Registered Nurse in Davenport, FL
• Providers in Davenport, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.