Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811290141 Individual Practitioner Female Practitioner

Kimberly Moniwue Gilmore Jackson , LPN

Licensed Practical Nurse • Lewiston, NY

Professional Overview & Biography Verified Profile Summary

Kimberly Gilmore Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Lewiston, NY. Practice services are available at 5285 LEWISTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5285 Lewiston Rd

Lewiston, NY 140921942

Telephone 7162982900
Fax 7162983815
Associated Practice Facility / Clinic
🏢 Our Lady Of Peace Inc. Facility NPI 1720073539

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lewiston, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Lewiston, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 2785861

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Kylie Wilkins , COTA

Occupational Therapy Assistant

NPI 1003428277

Certified Occupational Therapy Assistant

Janelle Rohring

Physical Therapist

NPI 1033922463
Kellie Christiansen , OTR, L

Occupational Therapist

NPI 1053915744

Occupational Therapist Registered, L

Countess-Jai Richards

Physical Therapist

NPI 1144789728
Dr. Michele Kujawa , DPT

Physical Therapist

NPI 1164983631

Doctor of Physical Therapy

Loren Romano , OTR

Occupational Therapist

NPI 1245839976

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2010

Registered at 5285 LEWISTON RD, LEWISTON, NY 140921942 (Tel: 7162982900)

📍
Updated Business Mailing Address December 08, 2010

Registered at 8521 PORTER RD APT 108, NIAGARA FALLS, NY 143041631 (Tel: 7162976075)

👤
Provider Name / Credentials Updated December 08, 2010

Recorded as KIMBERLY GILMORE JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2010

Licensed Practical Nurse (License #2785861 in NY)

🟢
Initial NPI Registration & Enumeration December 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811290141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2010
Last Update: December 08, 2010
Sole Proprietor: Yes

Mailing Address

8521 Porter Rd Apt 108

Niagara Falls, NY 143041631

Phone: 7162976075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.