What is Zackie Kanishka's NPI number?

Zackie Kanishka's National Provider Identifier (NPI) is 1710549605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Zackie Kanishka's specialty?

Zackie Kanishka is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Zackie Kanishka located?

Zackie Kanishka's practice location on file with NPPES is 117 W 400 S, Salt Lake City, UT 84101-1916.

What is Zackie Kanishka's phone number?

The practice phone number listed in the NPPES registry for Zackie Kanishka is (801) 428-4257.

Is Zackie Kanishka's NPI active?

Yes — Zackie Kanishka's NPI (1710549605) is active in the NPPES registry as of the last update on 2025-11-09.

IndividualActive

Zackie Kanishka

NPI 1710549605 · Social Worker · Salt Lake City, UT

Zackie Kanishka is a Social Worker provider in Salt Lake City, UT (NPI 1710549605).

Provider details

NPI number: 1710549605
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: 9524947-3502 (UT)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 9524947-3502 (UT)
Behavioral Health & Social Service Providers

Profile Score

Established profile(66/100 index)

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

Registry tenure38% of score
6 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

117 W 400 S

Salt Lake City, UT 84101-1916

Phone: (801) 428-4257

Street-level locationGet directions

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Mailing address