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KIMBERLY SUSAN TILLETT
NPI 1275011835
Licensed Practical Nurse in Dix Hills, NY

Active since August 04, 2018
22 MILLET ST., DIX HILLS, NY 11746(631) 205-8541 Get Directions Write a Review

NPPES record last updated: August 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Susan Tillett NPPES

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

KIMBERLY SUSAN TILLETT (NPI 1275011835) is an individual licensed practical nurse in Dix Hills, New York, licensed in New York (292835-1) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1275011835
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY SUSAN TILLETT
Location Address22 MILLET ST.Dix Hills, NY 11746
Mailing Address22 Millet StDix Hills, NY 11746-8108 · (631) 205-8541
Phone(631) 205-8541
Sole ProprietorNo
Enumeration DateAugust 4, 2018
✔ NPI 1275011835 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 · 292835-1
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.
22 MILLET ST., Dix Hills, NY 11746
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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 Tillett's NPI number?

The NPI number for Kimberly Tillett is 1275011835. It was assigned to this individual provider in the NPPES registry on August 4, 2018.

Where is Kimberly Tillett located?

Kimberly Tillett practices at 22 Millet St., Dix Hills, NY 11746. The listed phone number is (631) 205-8541.

What is Kimberly Tillett'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 Tillett was last updated on August 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.