KRISTI LEE LICKTEIG (NPI# 1437770559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437770559 |
| Entity Type | Individual |
| Full Name | KRISTI LEE LICKTEIG |
| Credential | ARNP, PMHNP |
| Practice Address |
18975 Nw 1600th Rd Garnett KS 66032-8285 |
| Mailing Address |
13 Timber Lake Rd Lane KS 66042-9350 |
| Practice Telephone | 3162993570 |
| Mailing Telephone | 3162993570 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
13-110435 | KS | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
53-79644-092 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18975 NW 1600TH RD |
| City | GARNETT |
| State | KS |
| Zip Code | 66032-8285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463427 | Sandra L. Otipoby Dds | Dentist | 121 West 6th Ave, Garnett, KS 66032 | 2017-05-08 |
| 1144606930 | Miranda Naylor | Pharmacist | 429 North Maple, Garnett, KS 66032 | 2015-08-04 |
| 1538293816 | Lighting Creek Investment Group Inc | Assisted Living Facility | 806 W 4th, Guest Home Estates Vii, Garnett, KS 66032 | 2007-03-16 |
| 1568557908 | William Harold Wiggans | Dentist | 240 West 4th Avenue, Garnett, KS 66032 | 2006-10-03 |
| 1700838570 | David V Henderson | Family Medicine | 312 S Maple St, Garnett, KS 66032 | 2006-05-17 |
| 1780674440 | Kevin Martin Rycheck | Pharmacist | 427 S Oak St, Garnett, KS 66032-0366 | 2005-10-25 |
| 1073612925 | Lynn A Wilson | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2006-09-21 |
| 1568674448 | Wilson Chiropractic Clinic | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2007-05-04 |
| 1548328016 | Howard F Wilson | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2006-12-05 |
| 1477537751 | Regional Healthcare LLC | Durable Medical Equipment & Medical Supplies | 115 S Maple St, Garnett, KS 66032-1014 | 2005-12-01 |
| Find all providers in zip 66032 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1861008732 | Georgette Musanase Kairanga | Nurse Practitioner | 9354 W 121st Ter, Overland Park, KS 66213-1547 | 2020-09-16 |
| 1720601982 | Jared Liebl | Nurse Practitioner | 3431 Deer Rdg, Rose Hill, KS 67133-8831 | 2020-05-22 |
| 1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
| 1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
| 1184164543 | Susan Clavette Integrative Psychiatric Np LLC | Nurse Practitioner | 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 | 2017-03-06 |
| 1316300239 | Tapestry Psychiatric Services LLC | Nurse Practitioner | 529 N Lincoln Ave, Liberal, KS 67901-3309 | 2016-03-29 |
| 1609267806 | Theresa Mueller | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRISTI LEE 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.