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KIMBERLY MICHELLE TADEO MARTINEZ LPN
NPI 1891379053
Licensed Practical Nurse in Staten Island, NY

Active since May 12, 2021
170 VANDERBILT AVE APT 1G, STATEN ISLAND, NY 10304(347) 692-7561 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Michelle Tadeo Martinez Lpn NPPES

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

KIMBERLY MICHELLE TADEO MARTINEZ LPN (NPI 1891379053) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (329538) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1891379053
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY MICHELLE TADEO MARTINEZCredential: LPN
Location Address170 VANDERBILT AVE APT 1GStaten Island, NY 10304-2573
Mailing Address170 Vanderbilt Ave Apt 1gStaten Island, NY 10304-2573 · (347) 692-7561
Phone(347) 692-7561
Sole ProprietorYes
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1891379053 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 · 329538
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.
170 VANDERBILT AVE APT 1G, Staten Island, NY 10304
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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 Tadeo Martinez's NPI number?

The NPI number for Kimberly Tadeo Martinez is 1891379053. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Kimberly Tadeo Martinez located?

Kimberly Tadeo Martinez practices at 170 Vanderbilt Ave Apt 1G, Staten Island, NY 10304. The listed phone number is (347) 692-7561.

What is Kimberly Tadeo Martinez'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 Tadeo Martinez was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.