Kathleen Lickfeldt, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP029917 Issued in PA

Practice address

930 Germantown Pike
Plymouth Meeting, PA 19462-7400

Phone

(484) 476-1000

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
• Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, PC

  • Obstetrics & Gynecology Nurse Practitioner
  • Langhorne, PA
  • NPI 1538728357
  Medicare reassignment Care Compare group NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Nurse Practitioner

  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1902844806
  NPD
• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doylestown Hospital

  • General Acute Care Hospital
  • Doylestown, PA
  • NPI 1225091697
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Presbyterian Medical Center of the University of Pennsylvania Health S

  dba UPHS Presbyterian Medical Center

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1245207521
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1821457870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627400",
            "telephone_number": "484-476-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 E 138th Ave",
            "address_2": "Ste 12",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33613",
            "country_code": "US",
            "telephone_number": "813-975-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICKFELDT",
        "first_name": "KATHLEEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9288359",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025086800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V68RY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lewis
• Suzanne Lewis
• Kay Lex, CNA
• Robin M Libowitz
• Bernadette Licata, LMT,NCTMB
• Rebecca Liddle
• Stephanie Liebert, RN
• Tracy Liebezeit, PT
• Sandra Lienti
• Janet Lietz, LPN

• Nurse Practitioner in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.