Lesli I Kramer, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

785 Issued in MN

Practice address

2040 Juniper Ave
Slayton, MN 56172-1017

Phone

(507) 836-6153

Fax

(507) 836-8787

NPI assigned

Aug 15, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lesli I Thiesse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sanford Health Network

  dba Sanford Clinic Jackson

  • Rural Health Clinic/Center
  • Jackson, MN
  • NPI 1083638357

  Physician Assistant

  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114929577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 JUNIPER AVE",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721017",
            "telephone_number": "507-836-1315",
            "fax_number": "507-836-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 JUNIPER AVE",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721017",
            "telephone_number": "507-836-6153",
            "fax_number": "507-836-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "LESLI",
        "middle_name": "I",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLI",
            "last_name": "THIESSE",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Slayton, MN
• Providers in Slayton, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.