Kelley A Lightner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.135651-IV Issued in OH

Practice address

4700 Rockside Rd Ste 100
Independence, OH 44131-2148

Phone

(216) 750-2600

NPI assigned

Feb 28, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pepcleve/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive Education Program

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cleveland, OH
  • NPI 1528035631
  NPD (past)
• Viaquest Home Health of Ohio, LLC

  • Home Health Agency
  • Independence, OH
  • NPI 1700188711
  NPD (past)
• Viaquest Hospice, LLC

  • Community Based Hospice Care Agency
  • Dublin, OH
  • NPI 1568715464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1003113036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LANDER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245712",
            "telephone_number": "216-831-2255",
            "fax_number": "216-378-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ROCKSIDE RD STE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312148",
            "telephone_number": "216-750-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Lander Rd",
            "address_purpose": "LOCATION",
            "city": "Pepper Pike",
            "state": "OH",
            "postal_code": "441245712",
            "country_code": "US",
            "telephone_number": "216-831-2255 x2202",
            "fax_number": "216-378-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "KELLEY",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.135651-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Line Community Healthcare New Jersey LLC
• Life Line Community Healthcare New Jersey, LLC
• Life Line Screening of America
• Kerry Kathleen Light, OTR
• Lighthouse Advocacy Agency LLC
• Rita Marie Liguzinski, SLP
• Derrick Ricky Lincoln
• Christopher Link, MSN, NP-C
• Thomas M Linnemann, DO
• Amanda Liptak

• Licensed Practical Nurse in Independence, OH
• Providers in Independence, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.