Individual provider Active NPI

Kanisha Twitty, RND

  • Pediatric Nutrition Registered Dietitian
  • Laveen, AZ
National Provider Identifier
1043033194
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Practice address
5618 W Rainwater Dr
Laveen, AZ 85339-5704
Phone
(480) 404-3501
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X AZ
Pediatric Nutrition Registered Dietitian 133VN1004X AZ Primary

Addresses

Primary practice location

5618 W Rainwater Dr
Laveen, AZ 85339-5704

Mailing address

5618 W Rainwater Dr
Laveen, AZ 85339-5704
Phone (480) 404-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1043033194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 W RAINWATER DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395704",
            "telephone_number": "480-404-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 W RAINWATER DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395704",
            "telephone_number": "480-404-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWITTY",
        "first_name": "KANISHA",
        "name_prefix": "Ms.",
        "credential": "RND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.