IndividualActive
Cheryl-Ann Ettienne, ED.D, MS, AGPCNP
NPI 1649656992 · Adult Health Nurse Practitioner · Brooklyn, NY
Provider details
- NPI number
- 1649656992
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ED.D, MS, AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F306969-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
440 Lenox Rd Apt 5k
Brooklyn, NY 11203-2045
Phone: (718) 926-7934
Street-level locationGet directions
Mailing address
440 Lenox Rd Apt 5k
Brooklyn, NY 11203-2045
Additional practice locations (1)
- 16707 29th Ave Apt 1Flushing, NY 11358-1501Phone: (718) 353-6283Fax: (718) 353-0173
Registry dates
- Enumerated
- 2015-08-09
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.