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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: August 16, 2026.

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

About Kimberly R. Pettengill Fnp NPPES

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

KIMBERLY R. PETTENGILL FNP (NPI 1942674742) is an individual family provider in Leeds, Maine, licensed in Maine (CNP151177) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1942674742
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY R. PETTENGILLCredential: FNP
Location Address180 CHURCH HILL RD STE 1Leeds, ME 04263
Mailing Address180 Church Hill Rd Ste 1Leeds, ME 04263-3418 · (207) 524-3501 · Fax (207) 524-2093
Phone(207) 524-3501
Fax(207) 524-2093
Sole ProprietorNo
Enumeration DateNovember 18, 2015
Last NPPES UpdateJune 25, 20215 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1942674742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP151177
180 CHURCH HILL RD STE 1, Leeds, ME 04263
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MILES MACGUFFIN BROOKES PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
ELLEN N. MEDRANO PA
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
JOSEPHINE A. POULIN FNP
Nurse Practitioner (Family)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
ELENA C MUEHTER APRN
Nurse Practitioner (Family)
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
OLIVIA G. JUNE PA-C
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
JOHN WIRONEN PA-C
Physician Assistant
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501
LYDIA A. THORP MD
Family Medicine
180 CHURCH HILL RD STE 1
LEEDS, ME 04263
Androscoggin County (207) 524-3501

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 Pettengill's NPI number?

The NPI number for Kimberly Pettengill is 1942674742. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Kimberly Pettengill located?

Kimberly Pettengill practices at 180 Church Hill Rd Ste 1, Leeds, ME 04263. The listed phone number is (207) 524-3501.

What is Kimberly Pettengill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Pettengill was last updated on June 25, 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.