Individual provider Active NPI

Thaleta Kettle, NP

  • Family Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1861380321
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038427 Issued in FL
Practice address
7074 Owl Rd
Weeki Wachee, FL 34613-6386
Phone
(813) 951-8605
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95035592 CA
Family Nurse Practitioner 363LF0000X APRN11038427 FL Primary

Addresses

Primary practice location

7074 Owl Rd
Weeki Wachee, FL 34613-6386

Mailing address

7074 Owl Rd
Weeki Wachee, FL 34613-6386
Phone (813) 951-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95035592CAMDFamily Nurse Practitioner
APRN11038427FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1861380321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 OWL RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136386",
            "telephone_number": "813-951-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7074 OWL RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136386",
            "telephone_number": "813-951-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLE",
        "first_name": "THALETA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035592",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.