Candace Kettlehut, ARNP- FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11001631 Issued in FL

Practice address

8956 Turkey Lake Rd Ste 100
Orlando, FL 32819-7375

Phone

(407) 774-3325

NPI assigned

Mar 5, 2019

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Boston Regenerative Medicine LLC

  dba Boston Regenerative Medicine

  • Radiation Oncology Physician
  • Longwood, FL
  • NPI 1487520136
  Medicare reassignment NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1679031975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 TURKEY LAKE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 TURKEY LAKE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197375",
            "telephone_number": "407-774-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLEHUT",
        "first_name": "CANDACE",
        "credential": "ARNP- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kessler, A.R.N.P.
• Aimee B Kesten
• Elan Malachi Kestenis, PA-C
• Katrina Kesterson
• Jennifer Dolcater Ketchersid, APRN, PNP
• Kevin L. Pressley, D.O., PA
• Kevrona Manor Alf
• Key Autism Services FL, LLC
• Key of Light Troubled Teen Services
• Key to Loving Hearts LLC

• Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.