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

Miss. Kimberly Ann Defatta, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1992903983

Miss. Kimberly Ann Defatta, PNP is a Pediatric Nurse Practitioner in Jamaica, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

8268 164th St
Jamaica, NY 11432-1121
Phone: (718) 883-4500
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F381894-1 (NY)

Record details

NPI number1992903983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESJuly 11, 2007

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