Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canivory Pettiway, NP

Individual provider Family Nurse Practitioner · NPI 1033846878

Canivory Pettiway, NP is a Nurse Practitioner in Albany, New York. Qualified in 2022, 4 years ago. Practices with Upper Hudson Planned Parenthood Inc, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

855 Central Ave
Albany, NY 12206-1513
Phone: (518) 434-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349914 (NY)

Record details

NPI number1033846878
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Upper Hudson Planned Parenthood Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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