MRS. KRISTEN ANN PECKHAM BSN
NPI 1376828368
Registered Nurse in Herkimer, NY

Q: What is Kristen Peckham's NPI number?

The NPI number for Kristen Peckham is 1376828368. It was assigned to this individual provider in the NPPES registry on October 21, 2011.

Q: What is Kristen Peckham's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Peckham was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 21, 2011

205 N MAIN ST, HERKIMER, NY 13350(315) 866-7630(315) 866-0193 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kristen Ann Peckham Bsn NPPES

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

MRS. KRISTEN ANN PECKHAM BSN (NPI 1376828368) is an individual registered nurse in Herkimer, New York, licensed in New York (22 523143) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1376828368

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. KRISTEN ANN PECKHAMCredential: BSN

Location Address205 N MAIN STHerkimer, NY 13350-1918

Mailing Address1400 Noyes StUtica, NY 13502-3854 · (315) 738-3800 · Fax (315) 738-4451

Phone(315) 866-7630

Fax(315) 866-0193

Sole ProprietorNo

Enumeration DateOctober 21, 2011

Last NPPES UpdateNovember 22, 2011

✔ NPI 1376828368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 22 523143

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

205 N MAIN ST, Herkimer, NY 13350

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Other Identifiers 1

Other22 523143NY · Nys Education Department

Other Providers at the Same Location NPPES 9

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

DR. JESSE THOMAS ROBILLARD MD

Psychiatry & Neurology (Psychiatry)