Active NPI
Jonathan Kliewer, REGISTERED NURSE
- Registered Nurse
- Rosebud, SD
National Provider Identifier
1376835835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1391269021
- Practice address
- Hwy 18 Soldier Creek Road
Rosebud, SD 57570 - Phone
- (605) 747-2231
- Fax
- (605) 747-2216
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1391269021 | KS | Primary |
Addresses
Primary practice location
Hwy 18 Soldier Creek Road
Rosebud, SD 57570
Mailing address
Hwy 18 Soldier Creek Road
Rosebud, SD 57570
Phone (605) 747-2231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1391269021 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Comprehensive Health Care Facility | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Rosebud, SD
- NPI 1326474016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1376835835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HWY 18 SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 18 SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-2231",
"fax_number": "605-747-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIEWER",
"first_name": "JONATHAN",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "1391269021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosebud, SD
- Navjot Kaur
- Natalie Ann Keating, REGISTERED NURSE
- Castle Kelly, REGISTERED NURSE
- Carol L King, REGISTERED NURSE
- Margaret Renee Kleffner, REGISTERED NURSE
- Deborah Jeannette Knispel, REGISTERED NURSE
- Gary S Kots, OD
- Susan Marie Krogman Comp, REGISTERED NURSE
- Lakota Tiwahe Center
- Charlotte Lapointe, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.