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KIMBERLY THEODORE
NPI 1033660519
Licensed Practical Nurse in Newburgh, NY

Active since October 19, 2016
36 NOB CIR, NEWBURGH, NY 12550(845) 784-8024 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Theodore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY THEODORE (NPI 1033660519) is an individual licensed practical nurse in Newburgh, New York, licensed in New York (310700-1) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1033660519
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY THEODORE
Location Address36 NOB CIRNewburgh, NY 12550-1247
Mailing Address36 Nob CirNewburgh, NY 12550-1247 · (845) 784-8024
Phone(845) 784-8024
Sole ProprietorYes
Enumeration DateOctober 19, 2016
✔ NPI 1033660519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 310700-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
36 NOB CIR, Newburgh, NY 12550
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Theodore's NPI number?

The NPI number for Kimberly Theodore is 1033660519. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Kimberly Theodore located?

Kimberly Theodore practices at 36 Nob Cir, Newburgh, NY 12550. The listed phone number is (845) 784-8024.

What is Kimberly Theodore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Theodore was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.