Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLIE PETERSON
NPI 1689599110
Licensed Practical Nurse in Montauk, NY

Q: What is Kellie Peterson's NPI number?

The NPI number for Kellie Peterson is 1689599110. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Q: What is Kellie Peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Peterson was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 August 12, 2026

131 EDGEMERE ST, MONTAUK, NY 11954(860) 806-3462 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kellie Peterson NPPES

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

KELLIE PETERSON (NPI 1689599110) is an individual licensed practical nurse in Montauk, New York, licensed in New York (356775) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1689599110

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLIE PETERSON

Location Address131 EDGEMERE STMontauk, NY 11954-5382

Mailing Address131 Edgemere StMontauk, NY 11954-5382

Phone(860) 806-3462

Sole ProprietorYes

Enumeration DateAugust 12, 2026

NPPES CertifiedAugust 12, 2026

✔ NPI 1689599110 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 · 356775

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.

131 EDGEMERE ST, Montauk, NY 11954

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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 Kellie Peterson's NPI number?

The NPI number for Kellie Peterson is 1689599110. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Kellie Peterson located?

Kellie Peterson practices at 131 Edgemere St, Montauk, NY 11954. The listed phone number is (860) 806-3462.

What is Kellie Peterson'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 Kellie Peterson was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.