Provider Demographics
NPI:1255754529
Name:ALLEN-LAMPE, KI RISTIA J (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KI RISTIA
Middle Name:J
Last Name:ALLEN-LAMPE
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21580 BIRG ST
Mailing Address - Street 2:
Mailing Address - City:CARLYLE
Mailing Address - State:IL
Mailing Address - Zip Code:62231-6471
Mailing Address - Country:US
Mailing Address - Phone:618-322-7217
Mailing Address - Fax:618-227-7787
Practice Address - Street 1:4941 BENCHMARK CENTRE DR STE 200
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2038
Practice Address - Country:US
Practice Address - Phone:618-972-1568
Practice Address - Fax:618-205-3561
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL277002964363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health