Active NPI
Natalie Christine Lickteig, FNP-BC
- Family Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1003107830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011010846
- Practice address
- 13101 State Line Rd
Kansas City, MO 64145-1650 - Phone
- (816) 942-2438
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011010846 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 75268 | KS |
Addresses
Primary practice location
13101 State Line Rd
Kansas City, MO 64145-1650
Mailing address
4022 John Brown Rd
Rantoul, KS 66079-9145
Phone (785) 241-4018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1003107830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 JOHN BROWN RD",
"city": "RANTOUL",
"state": "KS",
"postal_code": "660799145",
"telephone_number": "785-241-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 STATE LINE RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641451650",
"telephone_number": "816-942-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICKTEIG",
"first_name": "NATALIE",
"middle_name": "CHRISTINE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011010846",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "75268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.