Active NPI
Ketlyne Juste
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- North Easton, MA
National Provider Identifier
1720705262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN2300458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2300458 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Neurobehavioral Associates, LLC | Current | Accepting new patients | |
| Neuro Behavioral Center, LLC | Current | 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.
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
-
- Psychiatry Physician
- Walpole, MA
- NPI 1699143180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.