IndividualActive
Kimberly Nickey, R.N.
NPI 1063716736 · Registered Nurse · Port Jefferson, NY
Kimberly Nickey, R.N. is a Registered Nurse provider in Port Jefferson, NY (NPI 1063716736).
Provider details
- NPI number
- 1063716736
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 634894-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
162 N Country Rd
Port Jefferson, NY 11777-2120
Phone: (631) 828-8013
Street-level locationGet directions
Mailing address
162 N Country Rd
Port Jefferson, NY 11777-2120
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-01-10
Frequently asked questions
- What is Kimberly Nickey's NPI number?
- Kimberly Nickey's National Provider Identifier (NPI) is 1063716736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Nickey's specialty?
- Kimberly Nickey is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kimberly Nickey located?
- Kimberly Nickey's practice location on file with NPPES is 162 N Country Rd, Port Jefferson, NY 11777-2120.
- What is Kimberly Nickey's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Nickey is (631) 828-8013.
- Is Kimberly Nickey's NPI active?
- Yes — Kimberly Nickey's NPI (1063716736) is active in the NPPES registry as of the last update on 2011-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.