1. Home
  2. Directory
  3. Nevada
  4. North Las Vegas
  5. Technician
  6. NPI Profile

KENIESHA ANDREA CROCKETT
NPI 1407477177
Technician - Personal Care Attendant in North Las Vegas, NV

Active since May 04, 2020
2432 MORTON AVE APT C, NORTH LAS VEGAS, NV 89032(702) 285-4749 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keniesha Andrea Crockett NPPES

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

KENIESHA ANDREA CROCKETT (NPI 1407477177) is an individual personal care attendant in North Las Vegas, Nevada and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1407477177
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKENIESHA ANDREA CROCKETT
Location Address2432 MORTON AVE APT CNorth Las Vegas, NV 89032-4790
Mailing Address2432 Morton Ave Apt CNorth Las Vegas, NV 89032-4790 · (702) 285-4749
Phone(702) 285-4749
Sole ProprietorYes
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1407477177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2432 MORTON AVE APT C, North Las Vegas, NV 89032
Open in Google Maps ↗

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 Keniesha Crockett's NPI number?

The NPI number for Keniesha Crockett is 1407477177. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Keniesha Crockett located?

Keniesha Crockett practices at 2432 Morton Ave Apt C, North Las Vegas, NV 89032. The listed phone number is (702) 285-4749.

What is Keniesha Crockett's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Keniesha Crockett was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.