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KIMBERLY R PECKHAM FNP, NPP
NPI 1174554430
Nurse Practitioner - Psychiatric/Mental Health in Olean, NY

Active since July 05, 2006
2646 W STATE ST, OLEAN, NY 14760(716) 372-9344(716) 372-9497 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly R Peckham Fnp, Npp NPPES

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

KIMBERLY R PECKHAM FNP, NPP (NPI 1174554430) is an individual psychiatric/mental health provider in Olean, New York, licensed in New York (400892) and active in the NPI registry since July 2006. She maintains a secondary practice location in Geneseo.

NPPES Registry Identity

NPI1174554430
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY R PECKHAMCredential: FNP, NPP
Location Address2646 W STATE STOlean, NY 14760-1866
Mailing Address2646 W State StOlean, NY 14760-1866 · (716) 372-9344 · Fax (716) 372-9497
Phone(716) 372-9344
Fax(716) 372-9497
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1174554430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 400892
Also ListedSpecialistTaxonomy 174400000X · License 332683 (NY)
2646 W STATE ST, Olean, NY 14760
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Secondary Practice Location 1

Location 14612 Millennium DrGeneseo, NY 14454-1197 · Phone (585) 443-2018 · Fax (585) 991-5013

Other Identifiers 1

Medicaid02011163NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE BURLINGAME PA-C
Physician Assistant (Medical)
2646 W STATE ST
OLEAN, NY 14760
Cattaraugus County (716) 373-8870
THE CHAUTAUQUA CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2646 W STATE ST
OLEAN, NY 14760
Cattaraugus County (716) 484-4334
DR. JOHN P. MILLER DPM
Podiatrist (Foot Surgery)
2646 W STATE ST
OLEAN, NY 14760
Cattaraugus County (716) 373-3338

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 Peckham's NPI number?

The NPI number for Kimberly Peckham is 1174554430. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Kimberly Peckham located?

Kimberly Peckham practices at 2646 W State St, Olean, NY 14760. The listed phone number is (716) 372-9344.

What is Kimberly Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kimberly Peckham was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.