Lakysha Ann Kilpatrick

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

24-017382 Issued in IN

Practice address

1533 Lewis St Ofc 312
Indianapolis, IN 46202-4092

Phone

(317) 473-1565

NPI assigned

Oct 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Lakysha Ann Kilpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1023838448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 LEWIS ST OFC 312",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024092",
            "telephone_number": "317-473-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 LEWIS ST OFC 312",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024092",
            "telephone_number": "317-473-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "LAKYSHA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "24-017382",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "24-017382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKYSHA",
            "last_name": "KILPATRICK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Jeanne Killigrew, PT
• Robert Scott Killingbeck, D.C.
• Billie Jo Killion, FNE
• Anders Martin Kilmark, LMHC
• Danielle Kilpatrick
• Kim & Au-Yeung Dentistry, P.C.
• Sunah C Kim Dorantes, MD
• Kim E. Harris, D.D.S., P.C.
• A Rum Kim, DO
• Adrian Kim, LMHC

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.