Kanisha Naddine McGuire, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3453115 Issued in NY

Practice address

345 Park Ave S
New York, NY 10010-1707

Phone

(877) 597-1440

NPI assigned

May 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kanisha Naddine Trotman Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward Timothy Okelley MD PC

  dba PalliCare

  • Primary Care Nurse Practitioner
  • Texarkana, TX
  • NPI 1407553936

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1558110122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 135TH AVE APT 2",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203125",
            "telephone_number": "347-372-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101707",
            "telephone_number": "877-597-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "KANISHA",
        "middle_name": "NADDINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "787518-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "3453115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANISHA",
            "last_name": "TROTMAN",
            "middle_name": "NADDINE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blayne McGuire, ATC
• Colleen T McGuire, LMHC
• Collette McGuire, MA, LCSW
• Iris McGuire, PH.D.
• Jillian McGuire, LCSW
• Kate McGuire
• Kateri McGuire
• Kerry Ann McGuire, RN
• Lindsay McGuire, M.D.
• Margaret McGuire, PHD

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.