Kim Adele Pelletier, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

829106 Issued in TX

Practice address

1705 E 9TH St
Lubbock, TX 79403-5214

Phone

(806) 786-0739

NPI assigned

May 21, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1194655175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 N COUNTY ROAD 3240",
            "city": "IDALOU",
            "state": "TX",
            "postal_code": "793296012",
            "telephone_number": "806-786-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 9TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794035214",
            "telephone_number": "806-786-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "KIM",
        "middle_name": "ADELE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "829106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd David Peek, MSN, FNP-BC
• Sydney Nicole Peffer, MD
• Pegasus Home Care Inc
• Pelex Medical of Texas PA
• Skai Pellerin, OTR
• Camilo Pena, MD
• Georgia Pena
• Jessica Pena
• Riley Pendergrass, CCC-SLP
• Timothy J Pendergrass, PT

• Registered Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.