Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristina Anne Lishawa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063425205

Dr. Kristina Anne Lishawa, MD is a Pediatric Medicine in Traverse City, Michigan. Graduated from Harvard Medical School in 2004, 22 years ago. Practices with Kids Creek Childrens Clinic PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Harvard Medical School
Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Traverse City, MI

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301094127 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301094127 (MI)

Record details

NPI number1063425205
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Kids Creek Childrens Clinic Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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