Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Krishna Sanjeev Kakkera, NP

Individual provider Family Nurse Practitioner · NPI 1861170631

Krishna Sanjeev Kakkera, NP is a Nurse Practitioner in Bronx, 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
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

1371 Seabury Ave
Bronx, NY 10461-3651
Phone: (718) 294-6200
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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
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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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