NPIMap

Organization Active NPI

Enhance Health Inc.

  • Public Health or Welfare Agency
  • Riverview, FL
National Provider Identifier
1508314055
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
29361 Issued in FL
Legal business name
ENHANCE HEALTH INC.
Practice address
11709 Holly Creek Dr
Riverview, FL 33569-2018
Phone
(813) 569-9601
Fax
(813) 609-6784
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Ms. Wavaney M Kettle, RNNPI 1689122137
Title
Founder/Ceo
Phone
(813) 569-9601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 29361 FL Primary
Public Health or Welfare Agency 251K00000X 21291 FL

Addresses

Primary practice location

11709 Holly Creek Dr
Riverview, FL 33569-2018

Mailing address

11709 Holly Creek Dr
Riverview, FL 33569-2018
Phone (813) 569-9601

Other names 1

  • Enhance Diabetes Health Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1508314055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 HOLLY CREEK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692018",
            "telephone_number": "813-569-9601",
            "fax_number": "813-609-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 HOLLY CREEK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692018",
            "telephone_number": "813-569-9601",
            "fax_number": "813-609-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "KETTLE",
        "authorized_official_first_name": "WAVANEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "813-569-9601",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "29361",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "21291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhance Diabetes Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.