KIMBERLY LUCAITIS FNP NPI 1164705042

NPI Information

  • NPI: 1164705042
  • Provider Name: KIMBERLY LUCAITIS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 GRANT ST
    GARY, IN
    ZIP 46402
  • Phone: (219) 886-4464

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NPI Details

Kimberly Lucaitis, FNP is a family nurse practitioner in Gary, IN. Kimberly Lucaitis, FNP NPI is 1164705042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 GRANT ST
GARY, IN
ZIP 46402-001
Phone: (219) 886-4464

The NPI 1164705042 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2011 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28141967AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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