Individual provider Active NPI

Alicia M. Kleczkowski, A.P.R.N.

  • Family Nurse Practitioner
  • Londonderry, NH
National Provider Identifier
1366795767
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277087 Issued in MA
Practice address
40 Buttrick Rd
Londonderry, NH 03053-3381
Phone
(603) 552-1400
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN277087 MA Primary
Family Nurse Practitioner 363LF0000X 058783-23 NH

Addresses

Primary practice location

40 Buttrick Rd
Londonderry, NH 03053-3381

Mailing address

40 Buttrick Rd
Londonderry, NH 03053-3381
Phone (603) 552-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_nhg@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140904000302 NH Practitioner - Nurse Practitioner 9739307752 Reassigns benefits to 3 organizations
I20240726001720 MA Practitioner - Nurse Practitioner 9739307752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RHG of New Hampshire PCGroup PAC ID 6002320702, 5 clinicians

Practice addresses (Care Compare)

22 Keewaydin Dr
Salem, NH 03079-2839
Phone (978) 683-9177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN277087MAMDFamily Nurse Practitioner
058783-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose R. Gutierrez MD PC CurrentSince Jul 22, 2024 Accepting new patients
RHG of New Hampshire PC CurrentSince Jun 1, 2025 Accepting new patients
Catholic Medical Center CurrentSince Aug 4, 2014 Accepting new patients
Catholic Medical Center CurrentSince Jan 2, 2019 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Jun 16, 2025 Accepting new patients
Catholic Medical Center CurrentSince Aug 4, 2014 Accepting new patients

Locations

1 Great Rd
Acton, MA 01720
Phone (978) 263-9101

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

203 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 269-0030

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

57 Webster St
Ste 110
Manchester, NH 03104
Phone (603) 622-6491

195 McGregor St
Ste 310
Manchester, NH 03102

1750 Elm St
Ste 201A
Manchester, NH 03104
Phone (603) 623-3343

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

Interoperability endpoints

  • Direct secure messaging: alicia.kleczkowski.1@32866.direct.athenahealth.com
  • Direct secure messaging: alicia.kleczkowski.1@2017.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1366795767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-552-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECZKOWSKI",
        "first_name": "ALICIA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN277087",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "058783-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_nhg@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1750 Elm St Ste 201A",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031042903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.