Individual provider Active NPI

Ketlyne Juste

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • North Easton, MA
National Provider Identifier
1720705262
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN2300458 Issued in MA
Practice address
9 Sheridan St
North Easton, MA 02356-1836
Phone
(161) 793-0869
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN2300458 MA Primary

Addresses

Primary practice location

9 Sheridan St
North Easton, MA 02356-1836

Mailing address

9 Sheridan St
North Easton, MA 02356-1836
Phone (781) 308-7372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ketlyneetienne@hotmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2300458MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince May 3, 2024 Accepting new patients
Neuro Behavioral Center, LLC CurrentSince Jan 21, 2025 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

420 Main St
Ste 15
Walpole, MA 02081
Phone (508) 660-1666

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1720705262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHERIDAN ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561836",
            "telephone_number": "781-308-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SHERIDAN ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561836",
            "telephone_number": "161-793-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTE",
        "first_name": "KETLYNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2300458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ketlyneetienne@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Sheridan St",
            "city": "North Easton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023561836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.