Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Marie Kinnally, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1245512284

Heidi Marie Kinnally, NP is a Nurse Practitioner in Pulaski, New York. Qualified in 2004, 22 years ago. Practices with Liberty Resources Inc, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

61 Delano St
Pulaski, NY 13142-1400
Phone: (315) 298-6564
Fax: (315) 298-7831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F401384-1 (NY)

Record details

NPI number1245512284
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Liberty Resources Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount