Kimberly Jackson Fnp LLC
NPI 1811350770 · Nurse Practitioner · Mahopac, NY
Kimberly Jackson Fnp LLC is a Nurse Practitioner organization in Mahopac, NY (NPI 1811350770).
Provider details
- NPI number
- 1811350770
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Jackson, Owner/Provider(914) 260-8087
- License
- 336506 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Kumuda Family Health Care
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2016-03-30
Frequently asked questions
- What is Kimberly Jackson Fnp LLC's NPI number?
- Kimberly Jackson Fnp LLC's National Provider Identifier (NPI) is 1811350770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimberly Jackson Fnp LLC?
- Kimberly Jackson Fnp LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Jackson Fnp LLC located?
- Kimberly Jackson Fnp LLC's practice location on file with NPPES is 31 Weber Hill Rd, Mahopac, NY 10541-1829.
- What is Kimberly Jackson Fnp LLC's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Jackson Fnp LLC is (914) 260-8087.
- Who is the authorized official for Kimberly Jackson Fnp LLC?
- The authorized official listed on Kimberly Jackson Fnp LLC's NPPES record is Kimberly Jackson, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimberly Jackson Fnp LLC's NPI active?
- Yes — Kimberly Jackson Fnp LLC's NPI (1811350770) is active in the NPPES registry as of the last update on 2016-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.