Kimberly Michelle Pesiri, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305963 Issued in NY

Practice address

259 Smith Rd
Shirley, NY 11967-2223

Phone

(631) 681-0504

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By 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 1

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1972040442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SMITH RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672223",
            "telephone_number": "631-681-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SMITH RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672223",
            "telephone_number": "631-681-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESIRI",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Naomi Pendergast, LPN
• Annamaria Pepitone, FNP-C
• Bianca Pereira, OTD, OTR/L, CTRS
• Elyhia Perez-Cruz, PHARMACIST
• Personal Touch Home Care of Long Island, Inc.
• Peter Taormino
• Christina Petrizzo
• Philip J. Makowski, MD, PLLC
• Marie Pierre, LPN
• Cheryl Ann Piterniak, LPN

• Licensed Practical Nurse in Shirley, NY
• Providers in Shirley, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.