Kimberly Joy Penn, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N44712 Issued in NY

Practice address

104 Parkwood LN
Hilton, NY 14468-1344

Phone

(585) 503-5200

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1376457473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARKWOOD LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681344",
            "telephone_number": "585-503-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARKWOOD LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681344",
            "telephone_number": "585-503-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N44712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Niertit, PTA
• Michaela Ann Northrup, PT
• Jaclyn Marie Odell, R.N.
• Braeden Baker Ott
• Nicki L Parris, LPN
• Rachel Piccarreto, LPN
• Elizabeth Pietrantoni, LMSW
• Prince Professional Transport, LLC
• Todd W Prince
• Francesco Profita, PHARMD

• Registered Nurse in Hilton, NY
• Providers in Hilton, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.