Active NPI
Adam William Kimmes, RN-BC
- General Practice Registered Nurse
- Middletown, NY
National Provider Identifier
1467895722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 635414
- Practice address
- 18 Cobblestone LN
Middletown, NY 10940-5089 - Phone
- (845) 883-8083
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 635414 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 635414 | NY |
Addresses
Primary practice location
18 Cobblestone LN
Middletown, NY 10940-5089
Mailing address
18 Cobblestone LN
Middletown, NY 10940-5089
Phone (702) 743-6402
Other names 1
- Dr. Adam Kimmes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635414 | NY | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467895722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 COBBLESTONE LN",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405089",
"telephone_number": "702-743-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 COBBLESTONE LN",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405089",
"telephone_number": "845-883-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMES",
"first_name": "ADAM",
"middle_name": "WILLIAM",
"name_prefix": "Prof.",
"credential": "RN-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "635414",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "635414",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADAM",
"last_name": "KIMMES",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.