Keisha Fully, LPN
NPI 1104773803 · Licensed Practical Nurse · Staten Island, NY
Keisha Fully, LPN is a Licensed Practical Nurse provider in Staten Island, NY (NPI 1104773803).
Provider details
- NPI number
- 1104773803
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NP49873900 (NJ)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Keisha Fully's NPI number?
- Keisha Fully's National Provider Identifier (NPI) is 1104773803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keisha Fully's specialty?
- Keisha Fully is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Keisha Fully located?
- Keisha Fully's practice location on file with NPPES is 180 Park Hill Ave Apt 5d, Staten Island, NY 10304-4708.
- What is Keisha Fully's phone number?
- The practice phone number listed in the NPPES registry for Keisha Fully is (347) 596-1489.
- Is Keisha Fully's NPI active?
- Yes — Keisha Fully's NPI (1104773803) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.