Active NPI
Kristina A Leeseberg, RN
- Case Management Registered Nurse
- Alpena, MI
National Provider Identifier
1194505925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 4704301408
- Practice address
- 318 W Fletcher St
Alpena, MI 49707-2306 - Phone
- (989) 358-7660
- NPI assigned
- Sep 29, 2023
- Last updated
- Sep 29, 2023
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 4704301408 | MI | Primary |
Addresses
Primary practice location
318 W Fletcher St
Alpena, MI 49707-2306
Mailing address
3074 E M 72
Harrisville, MI 48740-9714
Phone (989) 255-6961
Other names 1
- Kristina A Stewart
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704301408 | MI | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1194505925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 E M 72",
"city": "HARRISVILLE",
"state": "MI",
"postal_code": "487409714",
"telephone_number": "989-255-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W FLETCHER ST",
"city": "ALPENA",
"state": "MI",
"postal_code": "497072306",
"telephone_number": "989-358-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEESEBERG",
"first_name": "KRISTINA",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MI",
"license": "4704301408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "STEWART",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.