The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Poughkeepsie and New York

408 active clinicians are listed under Licensed Practical Nurse with a practice address in Poughkeepsie, NY (22,839 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Poughkeepsie

0% of these 408 clinicians have the CMS telehealth indicator.

0% of these 408 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-09

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NY 242360-1

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location January 09, 2020

Registered at 21 SUSAN LN, POUGHKEEPSIE, NY 126036011 (Tel: 9143829325)

📍

Updated Business Mailing Address January 09, 2020

Registered at 21 SUSAN LN, POUGHKEEPSIE, NY 126036011 (Tel: 9143829325)

👤

Provider Name / Credentials Updated January 09, 2020

Recorded as KIMBERLY SMITH, LPN

✅

NPI Profile Active October 01, 2009

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 01, 2009

Registered at 14 BIRCH LN, CORTLANDT MANOR, NY 105671402 (Tel: 9143829325)

📍

Business Mailing Address (Initial Record) October 01, 2009

Registered at 14 BIRCH LN, CORTLANDT MANOR, NY 105671402 (Tel: 9143829325)

👤

Provider Name / Credentials (Initial Record) October 01, 2009

Recorded as KIMBERLY STRETZ, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2009

Licensed Practical Nurse (license number reported to NPPES: NY 242360-1)

🟢

Initial NPI Registration & Enumeration October 01, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134453558

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 01, 2009

Last Update: January 09, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

21 Susan Ln

Poughkeepsie, NY 126036011

Phone: 9143829325

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.