Ketena D Louine

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NP3333312 Issued in FL

Practice address

605 SW Indian Key Dr
Port St Lucie, FL 34986-2076

Phone

(772) 480-3776

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1578224150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SW INDIAN KEY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862076",
            "telephone_number": "772-480-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SW INDIAN KEY DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862076",
            "telephone_number": "772-480-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUINE",
        "first_name": "KETENA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "NP3333312",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "NP3333312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germine Lormera
• Philip Lortz, MD
• Tiffany Losius
• Teresia Cohen Louer, ITDS
• Samora Louigene
• Eguenel Louis, LMHC
• Filine Louis
• Marc Emmanuel Louis
• Midelson Louis
• Ketty Louissaint

• Gerontology Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.