KIMBERLEY K TIEDE LPN
NPI 1437380136
Licensed Practical Nurse in Perry, NY

Active since July 30, 2009
2492 SILVER LAKE RD, PERRY, NY 14530(585) 259-6218 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About KIMBERLEY TIEDE

This page provides the complete NPI Profile along with additional information for Kimberley Tiede, a provider established in Perry, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1437380136 assigned on July 2009. The practitioner's primary taxonomy code is 164W00000X with license number 233646 (NY). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1437380136 Verify this NPI
Provider Name
KIMBERLEY K TIEDE LPN
Gender
Female
Entity Type
Individual
Location Address
2492 SILVER LAKE RD PERRY, NY 14530
Location Phone
(585) 259-6218
Mailing Address
2492 SILVER LAKE RD PERRY, NY 14530
Mailing Phone
(585) 259-6218
Is Sole Proprietor?
Yes
Enumeration Date
07-30-2009
Last Update Date
07-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
233646
License State
NY
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437380136, enumerated as an "individual" on July 30, 2009.

The provider is located at 2492 SILVER LAKE RD PERRY, NY 14530 and the phone number is (585) 259-6218.

Licensed Practical Nurse with taxonomy code 164W00000X.