IndividualActive
Kellie Wiackley, RN
NPI 1134984974 · Registered Nurse · Staten Island, NY
Kellie Wiackley, RN is a Registered Nurse provider in Staten Island, NY (NPI 1134984974).
Provider details
- NPI number
- 1134984974
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 884578 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
275 Caselton Ave
Staten Island, NY 10301
Phone: (347) 539-3670
Approximate (ZIP-level) locationGet directions
Mailing address
141 Pelton Ave
Staten Island, NY 10310-1543
Additional practice locations (1)
- 575 8th Ave Fl 6New York, NY 10018-3158Phone: (917) 286-5225
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
- Certified
- 2024-02-19
Frequently asked questions
- What is Kellie Wiackley's NPI number?
- Kellie Wiackley's National Provider Identifier (NPI) is 1134984974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Wiackley's specialty?
- Kellie Wiackley is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kellie Wiackley located?
- Kellie Wiackley's practice location on file with NPPES is 275 Caselton Ave, Staten Island, NY 10301.
- What is Kellie Wiackley's phone number?
- The practice phone number listed in the NPPES registry for Kellie Wiackley is (347) 539-3670.
- Is Kellie Wiackley's NPI active?
- Yes — Kellie Wiackley's NPI (1134984974) is active in the NPPES registry as of the last update on 2024-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.