What is Kanisha Tillery's NPI number?

Kanisha Tillery's National Provider Identifier (NPI) is 1962176222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kanisha Tillery's specialty?

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

Where is Kanisha Tillery located?

Kanisha Tillery's practice location on file with NPPES is 126 Thompson St, Poughkeepsie, NY 12601-2621.

What is Kanisha Tillery's phone number?

The practice phone number listed in the NPPES registry for Kanisha Tillery is (845) 264-9697.

Is Kanisha Tillery's NPI active?

Yes — Kanisha Tillery's NPI (1962176222) is active in the NPPES registry as of the last update on 2021-08-02.

IndividualActive

Kanisha Tillery

NPI 1962176222 · Licensed Practical Nurse · Poughkeepsie, NY

Kanisha Tillery is a Licensed Practical Nurse provider in Poughkeepsie, NY (NPI 1962176222).

Provider details

NPI number: 1962176222
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 333554 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 333554 (NY)
Nursing Service Providers

Profile Score

Established profile(62/100 index)

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

Registry tenure38% of score
4 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

126 Thompson St

Poughkeepsie, NY 12601-2621

Phone: (845) 264-9697

Street-level locationGet directions

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Mailing address