Kettelyne Gilles

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN2286201 Issued in MA

Practice address

100 Cummings Center Suite 344F
Beverly, MA 01915

Phone

(857) 415-6439

Fax

(888) 776-1247

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reliable Hands Homecare LLC.

  • Home Health Agency
  • Beverly, MA
  • NPI 1487375556
  NPD Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1073061883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MYSTIC AVE UNIT 402",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER SUITE 344F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "857-415-6439",
            "fax_number": "888-776-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "KETTELYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MA",
            "license": "RN2286201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osin Ghimire, MSW
• Miranda Giering
• Diana Giglio, MSW
• Richard James Gilbride, D.M.D.
• Melanie Olson Giles, MA,CCC-SLP
• Barrie L Gillman, LICSW
• Kayla Gillooly
• Jaime Gilmore
• Lauryn Ginsburg, PT
• Michelle Giovanni

• Ambulatory Care Registered Nurse in Beverly, MA
• Providers in Beverly, MA by specialty
• Ambulatory Care Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.