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MRS. KIMBERLY H WATERBURY L.P.N.
NPI 1467865105
Licensed Practical Nurse in Commack, NY

Active since June 10, 2014
106 NEW HWY, COMMACK, NY 11725(631) 885-2040 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly H Waterbury L.p.n. NPPES

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

MRS. KIMBERLY H WATERBURY L.P.N. (NPI 1467865105) is an individual licensed practical nurse in Commack, New York, licensed in New York (318598) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1467865105
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KIMBERLY H WATERBURYCredential: L.P.N.
Location Address106 NEW HWYCommack, NY 11725-4217
Mailing Address106 New HwyCommack, NY 11725-4217 · (631) 885-2040
Phone(631) 885-2040
Sole ProprietorYes
Enumeration DateJune 10, 2014
✔ NPI 1467865105 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 · 318598
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.
106 NEW HWY, Commack, NY 11725
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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 Waterbury's NPI number?

The NPI number for Kimberly Waterbury is 1467865105. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Kimberly Waterbury located?

Kimberly Waterbury practices at 106 New Hwy, Commack, NY 11725. The listed phone number is (631) 885-2040.

What is Kimberly Waterbury'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 Waterbury was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.