Active NPI
Heather Lyn Kluemper, LPN
- Licensed Practical Nurse
- Lansing, MI
National Provider Identifier
1043838865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703108040
- Practice address
- 15945 Wood Rd
Lansing, MI 48906-1746 - Phone
- (517) 996-2133
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703108040 | MI | Primary |
Addresses
Primary practice location
15945 Wood Rd
Lansing, MI 48906-1746
Mailing address
15945 Wood Rd
Lansing, MI 48906-1746
Phone (517) 996-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703108040 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Care LLC | Single Specialty | Current | Accepting new patients |
Locations
15945 Wood Rd
Lansing, MI 48906
Phone (517) 394-1234
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1043838865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15945 WOOD RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489061746",
"telephone_number": "517-996-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 WOOD RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489061746",
"telephone_number": "517-996-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUEMPER",
"first_name": "HEATHER",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703108040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.