Individual provider Active NPI

Teresa Lorene Kicklighter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1235083965
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4052371 Issued in KY
Practice address
1255 High St
Paducah, KY 42001-5253
Phone
(270) 227-3851
NPI assigned
Feb 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4052371 KY Primary

Addresses

Primary practice location

1255 High St
Paducah, KY 42001-5253

Mailing address

1255 High St
Paducah, KY 42001-5253
Phone (270) 227-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423000248 KY Practitioner - Nurse Practitioner 3072080480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abs Lincs Ky, LLC.Group PAC ID 6608833520, 12 clinicians

Practice addresses (Care Compare)

270 Walton Way
Hopkinsville, KY 42240-6808
Phone (270) 886-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4052371KYMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1235083965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 HIGH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015253",
            "telephone_number": "270-227-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HIGH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015253",
            "telephone_number": "270-227-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICKLIGHTER",
        "first_name": "TERESA",
        "middle_name": "LORENE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4052371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.