Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235919465 Individual Practitioner Female Practitioner

Kimberly Sue Stevens , LPN

Licensed Practical Nurse • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Kimberly Stevens, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Syracuse, NY. Practice services are available at 620 MADISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Madison St

Syracuse, NY 132102338

Telephone 3154263600
Associated Practice Facility / Clinic
🏢 Nys Office Of Mental Health Facility NPI 1891852331

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Syracuse, NY

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

Practicing in Syracuse, 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

CMS Verified: 2023-10-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 188178

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

40 Associated Practitioners
Brooke Garrow

Licensed Practical Nurse

NPI 1013734391
Reginald Richardson

Registered Nurse

NPI 1023983368
Dr. Katharina Kulik , PsyD

Student in an Organized Health Care Education/Training Program

NPI 1043038979

Doctor of Psychology (Psy.D.)

Dr. Wilbur Albrecht , MD

Psychiatry & Neurology - Psychiatry

NPI 1043239395

Doctor of Medicine (M.D.)

Mercedes Hunt , RN BSN

Registered Nurse

NPI 1053117481

RNBSN

Deanna Delore

Registered Nurse

NPI 1053237933

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2023

Registered at 620 MADISON ST, SYRACUSE, NY 132102338 (Tel: 3154263600)

📍
Updated Business Mailing Address October 04, 2023

Registered at 338 COUNTY ROUTE 11 LOT 154, WEST MONROE, NY 131674114 (Tel: 3158820489)

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as KIMBERLY STEVENS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Licensed Practical Nurse (License #188178 in NY)

🟢
Initial NPI Registration & Enumeration October 04, 2023

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: 1235919465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2023
Last Update: October 04, 2023
Sole Proprietor: Yes

Mailing Address

338 County Route 11 Lot 154

West Monroe, NY 131674114

Phone: 3158820489

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.