KIMBERLY R. PETTENGILL FNP
NPI 1942674742
Nurse Practitioner - Family in Leeds, ME

Active since November 18, 2015
180 CHURCH HILL RD STE 1, LEEDS, ME 04263(207) 524-3501(207) 524-2093 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 25, 2021, Apr 17, 2021, May 16, 2018 and 2 more (5 updates tracked since 2015).

  • Individual
  • Female
  • Nurse Practitioner
  • Family

About KIMBERLY PETTENGILL

This page provides the complete NPI Profile along with additional information for Kimberly Pettengill, a provider established in Leeds, Maine with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1942674742 assigned on November 2015. The practitioner's primary taxonomy code is 363LF0000X with license number CNP151177 (ME). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1942674742 Verify this NPI
Provider Name
KIMBERLY R. PETTENGILL FNP
Gender
Female
Entity Type
Individual
Location Address
180 CHURCH HILL RD STE 1 LEEDS, ME 04263
Location Phone
(207) 524-3501
Location Fax
(207) 524-2093
Mailing Address
180 CHURCH HILL RD STE 1 LEEDS, ME 04263
Mailing Phone
(207) 524-3501
Mailing Fax
(207) 524-2093
Is Sole Proprietor?
No
Enumeration Date
11-18-2015
Last Update Date
06-25-2021
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A nurse practitioner (NP) like Kimberly Pettengill is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP151177
License State
ME

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Family Medicine
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Nurse Practitioner (Family)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Nurse Practitioner (Family)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942674742, enumerated as an "individual" on November 18, 2015.

The provider is located at 180 CHURCH HILL RD STE 1 LEEDS, ME 04263 and the phone number is (207) 524-3501.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.