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Export Provider Record NPI 1336572742
Kimberly LichtenfeldNP
Active
NPI Number1336572742
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Pediatrics
Provider Details
NPI1336572742
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-08-21
Last Updated2023-10-11
Mailing AddressPo Box 781076
Detroit, MI 48278-2892
United States
Phone: (317) 528-4800
📍 View Map
Primary Practice Address11161 Randolph St
Crown Point, IN 46307-8564
United States
Phone: (219) 664-9424 | Fax: (219) 662-7465
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LP0200X – Nurse Practitioner, PediatricsIN71004567A
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About NPI 1336572742

Kimberly Lichtenfeld NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336572742. The primary specialty listed is Nurse Practitioner, Pediatrics. The provider is located in Crown Point, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-08-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336572742?

NPI 1336572742 belongs to Kimberly Lichtenfeld NP, a Nurse Practitioner, Pediatrics in Crown Point, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336572742 active?

The current status of NPI 1336572742 in the NPPES registry is Active. The record was last updated on 2023-10-11.

What specialty is NPI 1336572742?

NPI 1336572742 is classified under the taxonomy Nurse Practitioner, Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336572742?

You can verify NPI 1336572742 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336572742?

The primary practice address on file for NPI 1336572742 is 11161 Randolph St, Crown Point, IN 46307-8564. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336572742 issued?

NPI 1336572742 was first issued (enumerated) on 2013-08-21. The NPPES record was last updated on 2023-10-11.

Practice Location Map

Kimberly Lichtenfeld is located at 11161 Randolph St, Crown Point, IN. Use the map below to find directions or verify the practice location.

📍 11161 Randolph St, Crown Point, IN 46307-8564  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kimberly Lichtenfeld. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336572742. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Pediatrics71004567AIN
Data Verified from CMS NPPES Last synced: 2026-08-13 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162