MS. KIMBERLY SUE CRABBE APRN NPI 1154991297

NPI Information

  • NPI: 1154991297
  • Provider Name: MS. KIMBERLY SUE CRABBE, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 365 MONTAUK AVE
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 442-0711

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NPI Details

MS. Kimberly Sue Crabbe, APRN is a psychiatric/mental health nurse practitioner in New London, CT with 23 years of experience. MS. Kimberly Sue Crabbe, APRN NPI is 1154991297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-700
Phone: (860) 442-0711

The NPI 1154991297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 9/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health85754CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11043278351MEDICAIDRHODE ISLAND
21043278351MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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