Keatredge Re'Tonda Lightfoot, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9181344 Issued in FL

Practice address

8002 Gunn Hwy
Tampa, FL 33626-1603

Phone

(813) 886-7673

Fax

(813) 792-7895

NPI assigned

May 20, 2008

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 names 1

• Keatredge Re'Tonda Frazier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Robert a. Norman, D.O., P.a.

  • Dermatology Physician
  • Tampa, FL
  • NPI 1558391219
  NPD (past)
• Robert a. Norman, D.O., P.a.

  • Dermatology Physician
  • Riverview, FL
  • NPI 1952440711
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1255598058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SHARONWOOD DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323270342",
            "telephone_number": "850-421-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261603",
            "telephone_number": "813-886-7673",
            "fax_number": "813-792-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "KEATREDGE",
        "middle_name": "RE'TONDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9181344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEATREDGE",
            "last_name": "FRAZIER",
            "middle_name": "RE'TONDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liftup North America Inc
• Christy Liger
• Stephen Bryant Liggett, M.D.
• Light & Hope Home Care
• Erica Lighter
• Lighthouse Healthcare Group LLC
• Lighthouse Healthcare Group LLC
• Lightning Laboratory Services
• Lightning Medical Center Corp
• Karen B Lightsey

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.