Kettly Jean-Baptiste

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5165475 Issued in FL

Practice address

2722 Conventry Lane
Ocoee, FL 34761

Phone

(321) 947-8388

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By the provider in NPPES

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

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1093159741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COVENTRY LN",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618619",
            "telephone_number": "321-947-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 CONVENTRY LANE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "321-947-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "KETTLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5165475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby James
• Jamie Lynn Dimacchia LLC (FreshChapter Counseling)
• Vanessa Yvanne Jasmin, PHARMD, RPH
• Savannah Brooke Jaynes
• Herlande Jean Baptiste
• Tessy Jean-Charles, APRN
• Gerlyne Jean
• Jeffrey H. Feld, M.D., P.a.
• Lisa M Jenkins, PT
• Teresa Jensen, PHARMD

• Licensed Practical Nurse in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.