Kaylyn Marie Kirschenheiter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

358788 Issued in NY

Practice address

133 Avenue D
Holbrook, NY 11741-2333

Phone

(631) 704-3279

NPI assigned

Jun 7, 2020

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1851915615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 AVENUE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412333",
            "telephone_number": "631-704-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 AVENUE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412333",
            "telephone_number": "631-704-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHENHEITER",
        "first_name": "KAYLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "765575-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Mary Kelly-Tobin, NP
• Kiddsmiles DDS 3 PLLC
• Kaitlyn Killeen
• Maria Killeen, MARIA KILLEEN
• Jillian Kirschenheiter
• Mitchell Kleinberg, M.D.
• Nancy Sullins Knapp, LCSW
• Cynthia J. Koch, O.T.R.
• Barbara Loretta Kolk-Seda, RPAC
• Thor Eric Korneliussen

• Family Nurse Practitioner in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.