Individual provider Active NPI

Kimberly Michele Lukat, LM

  • Midwife
  • Palm City, FL
National Provider Identifier
1366647117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW 187 Issued in FL
Practice address
2904 SW Mariposa Cir
Palm City, FL 34990-6058
Phone
(772) 781-3830
Fax
(772) 781-3830
NPI assigned
Jun 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW 187 FL Primary

Addresses

Primary practice location

2904 SW Mariposa Cir
Palm City, FL 34990-6058

Mailing address

2904 SW Mariposa Circle
Palm City, FL 34990
Phone (772) 781-3830

Other names 1

  • Kim Lukat Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MW 187FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366647117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SW MARIPOSA CIRCLE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-781-3830",
            "fax_number": "772-781-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 SW MARIPOSA CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906058",
            "telephone_number": "772-781-3830",
            "fax_number": "772-781-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKAT",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELE",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW 187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LUKAT",
            "credential": "LM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.