What is Kettly Derival's NPI number?

Kettly Derival's National Provider Identifier (NPI) is 1497903306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kettly Derival's specialty?

Kettly Derival is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kettly Derival located?

Kettly Derival's practice location on file with NPPES is 927 De Mott Ave, North Baldwin, NY 11510-1926.

What is Kettly Derival's phone number?

The practice phone number listed in the NPPES registry for Kettly Derival is (516) 204-5518.

Is Kettly Derival's NPI active?

Yes — Kettly Derival's NPI (1497903306) is active in the NPPES registry as of the last update on 2008-09-04.

IndividualActive

Kettly Derival, RN

NPI 1497903306 · Registered Nurse · North Baldwin, NY

Kettly Derival, RN is a Registered Nurse provider in North Baldwin, NY (NPI 1497903306).

Provider details

NPI number: 1497903306
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: 573255 (NY)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 573255 (NY)
Nursing Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

927 De Mott Ave

North Baldwin, NY 11510-1926

Phone: (516) 204-5518

Street-level locationGet directions

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Mailing address

927 Demott Ave