Wavaney M Kettle, RN

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

RN9179030 Issued in FL

Practice address

11709 Holly Creek Dr
Riverview, FL 33569-2018

Phone

(813) 569-9601

Fax

(813) 609-6784

NPI assigned

Sep 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nurse Wave7 Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Enhance Health Inc.

  • Public Health or Welfare Agency
  • Riverview, FL
  • NPI 1508314055
  NPD (past) Authorized official

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1689122137",
    "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": {
        "last_name": "KETTLE",
        "first_name": "WAVANEY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "RN9179030",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "RN9179030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NURSE",
            "last_name": "WAVE7",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacqueline K Kemokai, RN
• Andrea Kemp
• Lovely Kennedy
• Gertrude Erwin Kensinger, RN
• Summer Victoria Kessel, RD
• Khaldia Taufiq Khaled
• John A Khalil
• Khen & Rachamin Health Servant'S, LLC
• Rosalia Aphrodite Kickish, DMD
• Kidmunication, LLC

• Health Educator in Riverview, FL
• Providers in Riverview, FL by specialty
• Health Educator in Florida

• 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.