Kristen Lidwell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

400 Lakemont Park Blvd
Altoona, PA 16602-5967

Phone

(814) 946-0261

Fax

(814) 569-1189

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1902389158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-946-0261",
            "fax_number": "814-569-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-946-0261",
            "fax_number": "814-569-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDWELL",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington Surgical Associates Inc (Altoona Heart & Vascular Institute)
• Lexington Two Inc (Home Health Resource)
• Lexington Two, Inc (Home Health Resource)
• Alexis Nicole Ley, DPM
• Veronica Li, MD
• Zachary Lieb
• Life Raft Psychiatry LLC
• Lifetime Chiropractic LLC
• Melanie Dawn Ligas, OT
• Mariah Light

• Case Manager/Care Coordinator in Altoona, PA
• Providers in Altoona, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.