Active NPI
Kaleigh B Olenick
- Registered Nurse
- Port Jervis, NY
National Provider Identifier
1679406748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 969352-01
- Practice address
- 14 Skinners LN
Port Jervis, NY 12771-3736 - Phone
- (845) 672-5503
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 969352-01 | NY | Primary |
Addresses
Primary practice location
14 Skinners LN
Port Jervis, NY 12771-3736
Mailing address
14 Skinners LN
Port Jervis, NY 12771-3736
Phone (845) 672-5503
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1679406748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SKINNERS LN",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127713736",
"telephone_number": "845-672-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SKINNERS LN",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127713736",
"telephone_number": "845-672-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENICK",
"first_name": "KALEIGH",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "969352-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jervis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.