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

Kimberly Mae Carreon Carillo, NP

Individual provider Nurse Practitioner · NPI 1407327687

Kimberly Mae Carreon Carillo, NP is a Nurse Practitioner in New York, New York. Graduated from New York University School of Medicine in 2017, 9 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2018
Specialties on file
2
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

622 W 168th St Fl 14
New York, NY 10032-3720
Phone: (212) 305-0914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308369 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence F308369-1 (NY)

Record details

NPI number1407327687
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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