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

Kim Elaine Backman, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205475746

Kim Elaine Backman, NP is a Psychiatric/Mental Health Nurse Practitioner in Wantagh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2079 Wantagh Ave Ste 4
Wantagh, NY 11793-3924
Phone: (516) 244-6968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402879 (NY)

Record details

NPI number1205475746
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

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