KML 814 PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KML 814 PLLC

Doing business as

Walnut Creek Health

Practice address

11185 Edinboro Rd Unit D
Edinboro, PA 16412-1080

Phone

(814) 566-8800

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Leone II

Title

Practice Manager

Phone

(814) 282-5085

Specialties & licenses 4

Addresses

Other names 1

• Walnut Creek Health Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlyn M Leone, CRNP

  • Nurse Practitioner
  • Erie, PA
  • NPI 1861944050
  Medicare reassignment NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1417720186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11185 EDINBORO RD UNIT D",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11185 EDINBORO RD UNIT D",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121080",
            "telephone_number": "814-566-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KML 814 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "814-282-5085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Kathalene Johnston
• Matthew R Joyce, D.C.
• Keyara Kelly
• Kaitlin Ali Kephart
• Margaret Burke Kessler, LPC
• Andrea Kobylinski, PSYD
• Lake Erie Dental Inc
• Natalie L. Laniewicz, D.O.
• Leader Speech and Hearing Center
• Nicole Lee, PHARM D.

• Family Nurse Practitioner in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.