Individual provider Active NPI

Paula Dianne Kleimola, RN

  • Home Health Registered Nurse
  • Ann Arbor, MI
National Provider Identifier
1225409782
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704117188 Issued in MI
Practice address
2770 Carpenter Rd
Suite 220
Ann Arbor, MI 48108-4104
Phone
(734) 971-6300
Fax
(734) 971-1026
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704117188 MI Primary

Addresses

Primary practice location

2770 Carpenter Rd
Suite 220
Ann Arbor, MI 48108-4104

Mailing address

2770 Carpenter Rd
Suite 220
Ann Arbor, MI 48108-4104
Phone (734) 971-6300

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

LicenseStateTypeSpecialty
4704117188MIMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Who Care Past Accepting new patients
Friends Who Care, Inc Past Accepting new patients

Organizations & group practices 2

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1225409782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CARPENTER RD",
            "address_2": "SUITE 220",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481084104",
            "telephone_number": "734-971-6300",
            "fax_number": "734-971-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CARPENTER RD",
            "address_2": "SUITE 220",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481084104",
            "telephone_number": "734-971-6300",
            "fax_number": "734-971-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMOLA",
        "first_name": "PAULA",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704117188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.