Active NPIIndividual provider

Miss Kimberly A Kleaveland, FNP

Nurse Practitioner, Family in Meridian, Idaho

NPI Number1043569437
Practice location
3525 E Louise Dr Ste 500, Meridian, ID 83642-6305
Fax
208-706-7059
Last updated
April 24, 2024

Kimberly A Kleaveland is a Nurse Practitioner, Family based in Meridian, ID. Kimberly A Kleaveland practices in Meridian, ID and has the professional credentials of FNP. The NPI Number for Kimberly A Kleaveland is 1043569437 and holds a License No. 201505347NP-PP (OR). The current practice location address for Kimberly A Kleaveland is 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 and can be reached out via phone at 208-706-7050 and via fax at 208-706-7059.

Provider Profile Details

NPI Number
1043569437
Provider Name
Kimberly A Kleaveland
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3525 E Louise Dr Ste 500, Meridian, ID 83642-6305
Phone Number
208-706-7050
Fax Number
208-706-7059
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Kimberly A Johnson, FNP (Former Name)
Provider Enumeration Date
August 31, 2012
Last Update Date
April 24, 2024
Certification Date
April 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
State
Idaho
Zip
83642-6305
Phone Number
208-706-7050
Fax Number
208-706-7059
Meridian, ID 83642Get directions →

Provider Business Mailing Address Details

Address
190 E Bannock St
Boise, ID 83712-6241
City
Boise
State
ID
Zip
83712-6241
Phone Number
208-367-5170

License Information

License Number (1)
201505347NP-PP
License State (1)
OR
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
66267
License State (2)
ID
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kimberly A Kleaveland, FNP?

The NPI number of Miss Kimberly A Kleaveland, FNP is 1043569437. It was assigned on August 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Miss Kimberly A Kleaveland, FNP?

Miss Kimberly A Kleaveland, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in OR under license number 201505347NP-PP.

Where does Miss Kimberly A Kleaveland, FNP practice?

The practice location is 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305. The office can be reached at 208-706-7050 (phone) or 208-706-7059 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043569437 directly on the NPPES registry website.

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