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

Krishna Sanjeev Kakkera

Individual provider Family Nurse Practitioner · NPI 1861170631

Krishna Sanjeev Kakkera is a Nurse Practitioner in Flushing, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

14016 34th Ave Apt 1005
Flushing, NY 11354-3061
Phone: (972) 951-0520
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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 358500 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 856353 (NY)

Record details

NPI number1861170631
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address14016 34th Ave Apt 1005, Flushing, NY 11354-3061

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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