Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KETTELY DEVARISTE
NPI 1114969524
Registered Nurse - Neonatal Intensive Care in Cape Coral, FL

Active since June 11, 2006
3622 NE 13TH AVE, CAPE CORAL, FL 33909(239) 292-2233 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kettely Devariste NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTELY DEVARISTE (NPI 1114969524) is an individual neonatal intensive care provider in Cape Coral, Florida, licensed in Florida (RN9181978) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114969524
Entity TypeIndividualFemale
Primary Taxonomy163WN0002X
Provider Legal NameKETTELY DEVARISTE
Location Address3622 NE 13TH AVECape Coral, FL 33909-6415
Mailing Address13421 Bristol Park WayFort Myers, FL 33913-7835 · (239) 225-7905
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1114969524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Neonatal Intensive CareNursing Service Providers
Taxonomy Code163WN0002X
License Licensed in FL · RN9181978
3622 NE 13TH AVE, Cape Coral, FL 33909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettely Devariste's NPI number?

The NPI number for Kettely Devariste is 1114969524. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Kettely Devariste located?

Kettely Devariste practices at 3622 NE 13th Ave, Cape Coral, FL 33909. The listed phone number is (239) 292-2233.

What is Kettely Devariste's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Neonatal Intensive Care, with taxonomy code 163WN0002X.

When was this NPI record last updated?

The NPPES record for Kettely Devariste was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.