What is Kanisha Petty's NPI number?

Kanisha Petty's National Provider Identifier (NPI) is 1174313621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kanisha Petty's specialty?

Kanisha Petty is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Kanisha Petty located?

Kanisha Petty's practice location on file with NPPES is 1115 Avenue U, Brooklyn, NY 11223-5019.

What is Kanisha Petty's phone number?

The practice phone number listed in the NPPES registry for Kanisha Petty is (718) 717-8337.

Is Kanisha Petty's NPI active?

Yes — Kanisha Petty's NPI (1174313621) is active in the NPPES registry as of the last update on 2025-05-08.

IndividualActive

Kanisha Petty

NPI 1174313621 · Licensed Practical Nurse · Brooklyn, NY

Kanisha Petty is a Licensed Practical Nurse provider in Brooklyn, NY (NPI 1174313621).

Provider details

NPI number: 1174313621
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 348755-01 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 348755-01 (NY)
Nursing Service Providers

Profile Score

Established profile(54/100 index)

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

Registry tenure38% of score
1 yr 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

1115 Avenue U

Brooklyn, NY 11223-5019

Phone: (718) 717-8337

Street-level locationGet directions

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Mailing address