Kayla Charlene Van Cleve, RN

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0020610 Issued in WI

Practice address

605 S Forest Ave
Crandon, WI 54520-1703

Phone

(715) 902-0848

Fax

(262) 221-2206

NPI assigned

Jan 28, 2025

Last updated

Jan 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Alicia's Place

  • Adult Day Care Clinic/Center
  • Crandon, WI
  • NPI 1669260808
  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1285447920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E GRANT ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201673",
            "telephone_number": "715-902-0848",
            "fax_number": "262-661-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S FOREST AVE",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201703",
            "telephone_number": "715-902-0848",
            "fax_number": "262-221-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLEVE",
        "first_name": "KAYLA",
        "middle_name": "CHARLENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "221168",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WI",
            "license": "0020610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalynn Sprink
• Jennifer Lynn Stein, FNP-C
• Tina Irene Taylor
• The Center for Human Restoration, Inc
• Betty S Thunder, ADVANCED PRACTICE SO
• Eve Louise Van Harpen, DDS
• Zatrina Marie Vollmar
• Jacob Ryan Wagner, D.D.S.
• Renee Lynn Walden, OD
• Angela Kay Wales, DPT

• Adult Day Care Clinic/Center in Crandon, WI
• Providers in Crandon, WI by specialty
• Adult Day Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.