Individual provider Active NPI

Kelly Rhea Kleiderer, ARNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1033494315
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP.AP.60612177-CNM Issued in WA
Practice address
235 E Rowan Ave Ste 102
Spokane, WA 99207-1240
Phone
(509) 482-2228
NPI assigned
Oct 18, 2011
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP.AP.60612177-CNM WA Primary
Advanced Practice Midwife 367A00000X RN1027671 DC
Advanced Practice Midwife 367A00000X AP60612177 WA
Doula 374J00000X NU

Addresses

Primary practice location

235 E Rowan Ave Ste 102
Spokane, WA 99207-1240

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001

Other practice location 1

3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8200

Other identifiers 1

IdentifierTypeStateIssuer
AP60612177OtherWALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429000944 WA Practitioner - Certified Nurse Midwife (CNM) 4183850175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Spokane Womens Health PSGroup PAC ID 3274421466, 10 clinicians

Practice addresses (Care Compare)

235 E Rowan Ave
Suite 102
Spokane, WA 99207-1240
Phone (509) 489-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN1027671DCMDAdvanced Practice Midwife
AP60612177WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Mar 22, 2016 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Mar 22, 2016 Accepting new patients
North Spokane Womens Health PS CurrentSince Sep 1, 2022 Accepting new patients

Locations

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

203 N Washington St
Ste 300
Spokane, WA 99201

235 E Rowan Ave
Ste 102
Spokane, WA 99207
Phone (509) 489-2101

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

611 N Iron Bridge Way
Spokane, WA 99202

15812 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Interoperability endpoints

  • Direct secure messaging: kelly.kleiderer.1@31722.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1033494315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-482-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992051349",
            "country_code": "US",
            "telephone_number": "509-444-8200",
            "fax_number": "509-444-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIDERER",
        "first_name": "KELLY",
        "middle_name": "RHEA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "ARNP.AP.60612177-CNM",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1027671",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60612177",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP60612177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.