Kimberly R Peckham, FNP, NPP
Kimberly R Peckham is a Psychiatric/Mental Health Nurse Practitioner provider (Nurse Practitioner) practicing in Olean, NY, registered in the NPPES registry with NPI 1174554430 since 2006. The credential FNP stands for Family Nurse Practitioner. Practices at The Chautauqua Center, Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174554430 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kimberly R Peckham |
| Credential | FNP, NPP |
| Sex | Female |
| Practice address | 2646 W STATE ST, Olean, NY, 14760 |
| Phone | 7163729344 |
| Fax | 7163729497 |
| Enumeration date | 2006-07-05 |
| Last updated in NPPES | 2025-11-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | 332683 | NY |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | 400892 | NY |
FNP — Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02011163 | Medicaid | NY | — |
Copy-ready billing details
Provider: Kimberly Peckham, FNP, NPP NPI: 1174554430 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 2646 W STATE ST, Olean, NY, 14760
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922189760 | John Miller | Individual | Foot Surgery Podiatrist | Olean, NY |
| 1083029482 | Katherine Burlingame | Individual | Medical Physician Assistant | Olean, NY |
| 1629869995 | The Chautauqua Center, Inc | Organization | Federally Qualified Health Center (FQHC) | Olean, NY |
Verify this record
Cross-check NPI 1174554430 against the authoritative CMS record: view Kimberly R Peckham on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-12.