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NPI · 1053671669 · NPPES-sourced

Jacqueline Lickliter D.O.

ActivePediatrics
NPI Number
1053671669
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(304) 255-2878
License WV · 2950
Last Updated
Enumerated
Primary practice addressWV · 25801-2620
230 George St Ste 2Beckley, WV 25801-2620
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About this NPIWhat this record shows.

NPI 1053671669 is registered to Jacqueline Lickliter D.O., a Pediatrics practising at 230 George St Ste 2 in Beckley, West Virginia. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Jacqueline Lickliter D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacqueline Lickliter D.O. accepts. To confirm in-network status with your specific health plan, contact Jacqueline Lickliter D.O. directly at (304) 255-2878.

Frequently asked

Yes. NPI 1053671669 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (304) 255-2878.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacqueline Lickliter D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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