Active NPI
Clarissa Leidholt
- School Registered Nurse
- Wichita, KS
National Provider Identifier
1013821578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 13-134043
- Practice address
- 2055 S 143Rd St E
Wichita, KS 67230-9547 - Phone
- (316) 973-9990
- Fax
- (316) 973-9995
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 13-134043 | KS | Primary |
Addresses
Primary practice location
2055 S 143Rd St E
Wichita, KS 67230-9547
Mailing address
2055 S 143Rd St E
Wichita, KS 67230-9547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1013821578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 S 143RD ST E",
"city": "WICHITA",
"state": "KS",
"postal_code": "672309547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 S 143RD ST E",
"city": "WICHITA",
"state": "KS",
"postal_code": "672309547",
"telephone_number": "316-973-9990",
"fax_number": "316-973-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDHOLT",
"first_name": "CLARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "KS",
"license": "13-134043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.