KAITLYN M. LIGHTBODY, NNP — NPI 1457658221 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care in BURLINGTON, VT)

CMS-1500 Box 24J / 33a • NPI

1457658221

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LN0005X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care

Box 32 Service Location & ZIP+4

111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473

✓ 9-Digit EDI 837 ZIP+4 (05401-1473)

Practice Phone & Referral Fax

(802) 847-2370

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457658221 (KAITLYN M. LIGHTBODY, NNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457658221` (NPI-1 Individual Practitioner)
Provider / Legal Name	KAITLYN M. LIGHTBODY, NNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care NUCC Code: `363LN0005X` (Nurse Practitioner, Neonatal, Critical Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473
Practice Telephone / Fax	Tel: (802) 847-2370
Administrative Mailing Address	313 TUTTLE RD, CUMBERLAND, ME, 04021-4106
Enumeration & Last Sync	Enumerated: 2011-02-14 \| CMS Record Updated: 2025-01-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473

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Plain-English Taxonomy & CMS Crosswalk (363LN0005X)

What Does Taxonomy Code 363LN0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LN0005X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Neonatal, Critical Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KAITLYN M. LIGHTBODY, NNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LN0005X` — Nurse Practitioner, Neonatal, Critical Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care	State: VT \| License: `101.0073830` \| Primary: Secondary
`363LN0005X` — Nurse Practitioner, Neonatal, Critical Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal, Critical Care	State: ME \| License: `CNP161222` \| Primary: Yes (Primary)

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KAITLYN M. LIGHTBODY, NNP (NPI #1457658221)