Individual provider Active NPI

Kimberly A Kleiman, M.AC., L.AC.

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1104148915
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0623 Issued in AZ
Practice address
1601 N Tucson Blvd Ste 14
Tucson, AZ 85716-3406
Phone
(520) 323-7060
NPI assigned
Feb 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0623 AZ Primary
Acupuncturist 171100000X AC01298 OR

Addresses

Primary practice location

1601 N Tucson Blvd Ste 14
Tucson, AZ 85716-3406

Mailing address

1601 N Tucson Blvd Ste 14
Tucson, AZ 85716-3406
Phone (520) 323-7060

Other practice location 1

2127 E Grant Rd
Tucson, AZ 85719-3412
Phone (520) 323-7060

Other names 1

  • Kym Kleiman Other name

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

LicenseStateTypeSpecialty
AC01298ORMDAcupuncturist
0623AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liferoot Acupuncture & Healing Arts, LLC Acupuncturist CurrentSince Dec 13, 2020 Accepting new patients

Locations

1601 N Tucson Blvd
Ste 14
Tucson, AZ 85716
Phone (520) 323-7060

2127 E Grant Rd
Tucson, AZ 85719
Phone (520) 323-7060

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": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1104148915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-323-7060",
            "fax_number": "520-323-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163406",
            "telephone_number": "520-323-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857193412",
            "country_code": "US",
            "telephone_number": "520-323-7060",
            "fax_number": "520-323-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-20",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0623",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYM",
            "last_name": "KLEIMAN",
            "credential": "M.AC., L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.