Individual provider Active NPI

Keturah Kolett Hawk, RN

  • Registered Nurse
  • St Petersburg, FL
National Provider Identifier
1205639770
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9541714 Issued in FL
Practice address
641 49TH St N
St Petersburg, FL 33710-7320
Phone
(727) 826-0958
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9541714 FL Primary

Addresses

Primary practice location

641 49TH St N
St Petersburg, FL 33710-7320

Mailing address

12128 Rambling Stream Dr
Riverview, FL 33569-8011
Phone (813) 445-0989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9541714FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Help-US Help-U Inc CurrentSince Apr 6, 2025 Accepting new patients
Help-US Help-U Inc PastSince Apr 6, 2025 Accepting new patients

Locations

641 49th St N
St Petersburg, FL 33710
Phone (727) 826-0958

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1205639770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 RAMBLING STREAM DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698011",
            "telephone_number": "813-445-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107320",
            "telephone_number": "727-826-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "KETURAH",
        "middle_name": "KOLETT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9541714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.