NATALIE CHRISTINE LICKTEIG (NPI# 1003107830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003107830 |
| Entity Type | Individual |
| Full Name | NATALIE CHRISTINE LICKTEIG |
| Credential | FNP-BC |
| Practice Address |
13101 State Line Rd Kansas City MO 64145-1650 |
| Mailing Address |
4022 John Brown Rd Rantoul KS 66079-9145 |
| Practice Telephone | 8169422438 |
| Mailing Telephone | 7852414018 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
75268 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011010846 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13101 STATE LINE RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64145-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841399151 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2006-09-22 |
| 1255979621 | Melissa Nicole Ebert | Registered Nurse | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2019-12-17 |
| 1144874769 | Jennifer Anne Kush | Registered Nurse | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2019-07-31 |
| 1750820437 | Caitlin Iliff | Nurse Practitioner | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2017-02-15 |
| 1265829915 | Laura Bodine | Nurse Practitioner | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2015-04-21 |
| 1891047155 | Shannon Marie Anderson | Nurse Practitioner | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701456 | Cathy Mckay | Nurse Practitioner | 13101 Stateline Road, Kansas City, MO 64145 | 2015-06-02 |
| 1457788135 | Alex Sharifian Dds Madison Dental Group PC | Dentist | 13541 Madison Avenue, Kansas City, MO 64145 | 2013-09-26 |
| 1598852949 | Richard B Bluel | Chiropractor | 13356 Holmes Road, Kansas City, MO 64145 | 2006-10-06 |
| 1225144470 | Gregory A. Stiver | Dentist | 325 East 135th St., Kansas City, MO 64145 | 2006-08-21 |
| 1710493432 | Ashlyn G Simmons | Social Worker | 421 E 137th St, Kansas City, MO 64145 | 2017-12-18 |
| 1255841532 | Lorna Adair Mccartney | Nurse Practitioner | 11901 Wornall Rd, Bldg 8, Ste 105, Kansas City, MO 64145 | 2017-10-02 |
| 1235678525 | Brook Operations LLC | Assisted Living Facility | 12942 Wornall Rd, Kansas City, MO 64145 | 2017-02-20 |
| 1639440837 | Michael David Ciaccio | Counselor | 421 E 137th St, Kansas City, MO 64145 | 2012-01-19 |
| 1578841573 | Gregory A. Stiver, D.d.s., P.C. | Dental Laboratory | 325 East 135th St., Kansas City, MO 64145 | 2011-07-26 |
| 1427293430 | Total Renal Care Inc | Clinic/Center | 12110 Holmes Rd, Kansas City, MO 64145 | 2008-12-04 |
| Find all providers in zip 64145 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64145 |
Please comment or provide details below to improve the information on NATALIE CHRISTINE LICKTEIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.