IndividualActive
Ketly Itacy
NPI 1063735579 · Licensed Practical Nurse · Brooklyn, NY
Ketly Itacy is a Licensed Practical Nurse provider in Brooklyn, NY (NPI 1063735579).
Provider details
- NPI number
- 1063735579
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 299478 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
960 Sterling Pl Apt 2l
Brooklyn, NY 11213-2523
Phone: (646) 201-3931
Street-level locationGet directions
Mailing address
960 Sterling Pl Apt 2l
Brooklyn, NY 11213-2523
Registry dates
- Enumerated
- 2010-03-11
- Last updated
- 2010-03-11
Frequently asked questions
- What is Ketly Itacy's NPI number?
- Ketly Itacy's National Provider Identifier (NPI) is 1063735579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketly Itacy's specialty?
- Ketly Itacy is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Ketly Itacy located?
- Ketly Itacy's practice location on file with NPPES is 960 Sterling Pl Apt 2l, Brooklyn, NY 11213-2523.
- What is Ketly Itacy's phone number?
- The practice phone number listed in the NPPES registry for Ketly Itacy is (646) 201-3931.
- Is Ketly Itacy's NPI active?
- Yes — Ketly Itacy's NPI (1063735579) is active in the NPPES registry as of the last update on 2010-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.