KIMBERLY CENTEIO NPI 1598317935

NPI Information

  • NPI: 1598317935
  • Provider Name: KIMBERLY CENTEIO
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 69 BYRON AVE
    BROCKTON, MA
    ZIP 02301
  • Phone: (774) 444-0269

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NPI Details

Kimberly Centeio is a primary care nurse practitioner in Brockton, MA. Kimberly Centeio NPI is 1598317935. 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:

69 BYRON AVE
BROCKTON, MA
ZIP 02301-201
Phone: (774) 444-0269

The NPI 1598317935 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 7/16/2019 and was last updated on 11/30/2022.

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
1363LP2300XNurse PractitionerPrimary CareRN2262475MASSACHUSETTSYes
2363LF0000XNurse PractitionerFamilyRN2262475MASSACHUSETTSNo

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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