Kettely Devariste

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

RN9181978 Issued in FL

Practice address

3622 NE 13TH Ave
Cape Coral, FL 33909-6415

Phone

(239) 292-2233

NPI assigned

Jun 11, 2006

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

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114969524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 BRISTOL PARK WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137835",
            "telephone_number": "239-225-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 NE 13TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096415",
            "telephone_number": "239-292-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARISTE",
        "first_name": "KETTELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "FL",
            "license": "RN9181978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmond J Smith
• Desmornes, Joseph
• Karen Desouza Ferreira Hunt
• Laura Destefano, DO
• Joseph Desulme, FNP-C
• Devereux Foundation
• Arianna Devesa Navarro
• Deborah Ann Devlin, LCSW
• Melissa Devora Diaz
• Patricia M. Devost I

• Neonatal Intensive Care Registered Nurse in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Neonatal Intensive Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.