Active NPI
Kristin Marie Lightner, RN
- Registered Nurse
- Fort Irwin, CA
National Provider Identifier
1699830588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001193457
- Practice address
- Inner Loop Rd Building 166
Ft Irwin, CA 92310 - Phone
- (760) 380-3180
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001193457 | VA | Primary |
Addresses
Primary practice location
Inner Loop Rd Building 166
Ft Irwin, CA 92310
Mailing address
2201 Muriel Dr Apt 40
Barstow, CA 92311-6756
Phone (760) 380-3185
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001193457 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699830588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 MURIEL DR APT 40",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923116756",
"telephone_number": "760-380-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INNER LOOP RD BUILDING 166",
"city": "FT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-380-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTNER",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001193457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
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.