Ketly Camille, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9428268 Issued in FL

Practice address

5726 Lincoln Cir E
Lake Worth, FL 33463-6757

Phone

(156) 812-3976

Fax

(561) 828-7627

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ketly Camille Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home Health Care Quality Services Inc

  • Nursing Care Agency
  • Lake Worth, FL
  • NPI 1023549193
  NPD (past) Authorized official
• Yes We DO Care Inc

  • Homemaker
  • Lake Worth, FL
  • NPI 1154977668
  NPD (past) Authorized official

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1063920007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 LINCOLN CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636757",
            "telephone_number": "561-812-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 LINCOLN CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636757",
            "telephone_number": "156-812-3976",
            "fax_number": "561-828-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 S Jog Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334672002",
            "country_code": "US",
            "telephone_number": "561-812-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMILLE",
        "first_name": "KETLY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9428268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETLY",
            "last_name": "CAMILLE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rose Lunide Calixte, APRN
• Claudia Camacho Roa
• Amanda Camacho
• Andrea Marie Camicia-Logue, MS.OTR/L
• Carline Camille
• Esther Camilus, PMHNP-BC
• Rachel Rene Campbell, LCSW, MSW
• Rushelle Campbell
• Shelley Scott Campbell, OTR/L
• Amanda De la Caridad Campos Sanchez

• Registered Nurse in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.