KIMBERLY LUCAITIS FNP
NPI 1164705042
Nurse Practitioner - Family in Gary, IN

Active since September 27, 2011

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Lucaitis Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LUCAITIS FNP (NPI 1164705042) is an individual family provider in Gary, Indiana, licensed in Indiana (28141967A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1164705042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LUCAITISCredential: FNP
Location Address600 GRANT STGary, IN 46402-6001
Mailing Address600 Grant StGary, IN 46402-6001 · (219) 886-4464
Sole ProprietorYes
Enumeration DateSeptember 27, 2011
Last NPPES UpdateNovember 18, 2016
NPI 1164705042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 28141967A
600 GRANT ST, Gary, IN 46402

Other Names 1

Former Name (1)Kimberly Goodrich Np

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
600 GRANT ST
GARY, IN 46402
Physical Medicine & Rehabilitation
600 GRANT ST
GARY, IN 46402
Physician Assistant
600 GRANT ST
GARY, IN 46402
Physician Assistant
600 GRANT ST
GARY, IN 46402
Psychiatry & Neurology (Psychiatry)
600 GRANT ST
GARY, IN 46402
Pharmacist
600 GRANT ST
GARY, IN 46402
Internal Medicine
600 GRANT ST
GARY, IN 46402
Registered Nurse
600 GRANT ST
GARY, IN 46402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Lucaitis's NPI number?

The NPI number for Kimberly Lucaitis is 1164705042. It was assigned to this individual provider in the NPPES registry on September 27, 2011. The provider is also known as Kimberly Goodrich Np.

Where is Kimberly Lucaitis located?

Kimberly Lucaitis practices at 600 Grant St, Gary, IN 46402. The listed phone number is (219) 886-4464.

What is Kimberly Lucaitis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Lucaitis was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.