1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Licensed Practical Nurse
  6. NPI Profile

KANISHA PETTY
NPI 1174313621
Licensed Practical Nurse in Brooklyn, NY

Active since May 08, 2025
1115 AVENUE U, BROOKLYN, NY 11223(718) 717-8337 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanisha Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANISHA PETTY (NPI 1174313621) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (348755-01) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1174313621
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKANISHA PETTY
Location Address1115 AVENUE UBrooklyn, NY 11223-5019
Mailing Address1115 Avenue UBrooklyn, NY 11223-5019 · (718) 717-8337
Phone(718) 717-8337
Sole ProprietorYes
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1174313621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 348755-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1115 AVENUE U, Brooklyn, NY 11223
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVA-GAYE MORGAN
Licensed Practical Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
KIMBERLY WACHTER
Registered Nurse (Home Health)
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
HECTOR REVELO
Registered Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
CASAMDRA IWULE
Registered Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
DIANDRA PETERS
Licensed Practical Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
TRISTAN SCOTLAND
Registered Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
DOREEN GISSENTANNA
Registered Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337
JACQUELINE MAGALDI
Registered Nurse
1115 AVENUE U
BROOKLYN, NY 11223
Kings County (718) 717-8337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanisha Petty's NPI number?

The NPI number for Kanisha Petty is 1174313621. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Kanisha Petty located?

Kanisha Petty practices at 1115 Avenue U, Brooklyn, NY 11223. The listed phone number is (718) 717-8337.

What is Kanisha Petty's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kanisha Petty was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.