Peggy Ellen Kleinleder, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3704 Issued in AK

Practice address

451 Sterling Hwy
Homer, AK 99603-7440

Phone

(907) 235-0369

Fax

(907) 235-0810

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1407031982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0369",
            "fax_number": "907-235-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 STERLING HWY",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037440",
            "telephone_number": "907-235-0369",
            "fax_number": "907-235-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINLEDER",
        "first_name": "PEGGY",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "RN3704",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "CM37041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG799",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH2711",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG519A",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS0272",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC2563",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA3799",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle King, PHARMD
• Nora Kinsey-Kuentzel
• Carol Lynn Klamser, ANP-C
• Kye Klamser, B.S.
• Lise Klein-Kirsis
• Richard John Kleinleder, PTA
• Mitchell Kliemann
• Martha Kai Klousner, M.S. CCC-SLP
• Edson L. Knapp, M.D.
• Renda K Knapp, MD

• Registered Nurse in Homer, AK
• Providers in Homer, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.