Kimberly Lightfoot, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA061240 Issued in PA

Practice address

713 Bethlehem Pike
Montgomeryville, PA 18936-9602

Phone

(267) 695-3944

NPI assigned

Oct 13, 2019

Last updated

Dec 16, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Interoperability endpoints

• Direct secure messaging: klightfoot3204618@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gni Neuroservices LLC

  • Neurological Surgery Physician
  • Lawrenceville, NJ
  • NPI 1851794903

  PA

  Medicare reassignment Care Compare group
• Global Neurosciences Institute LLC

  • Neurological Surgery Physician
  • Chester, PA
  • NPI 1275933228

  NJ

  Medicare reassignment

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

• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1942842729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BETHLEHEM PIKE",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369602",
            "telephone_number": "267-695-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunah Kim, O.D.
• Alyssa K Kuhn, B.A.
• Lab Medical LLC
• Anthony Lambright, DMD
• Kathryn Marie Leahey, DMD
• Florita Cordero Lopez, MD
• Lotus Leaf Medical PC
• Matthew Macneill, LPC
• Manor Care-Lansdale of Montgomeryville PA, LLC (ManorCare Health Services - Montgomeryville)
• Danielle Aisa Marcano-Buckler, MD

• Medical Physician Assistant in Montgomeryville, PA
• Providers in Montgomeryville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.