Active NPI
Jamie Todd Kleinknecht, RN
- Ambulatory Care Registered Nurse
- Mandan, ND
National Provider Identifier
1508083015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R29443
- Practice address
- 5013 Wagon Wheel Cir
Mandan, ND 58554-1050 - Phone
- (701) 663-5452
- NPI assigned
- Apr 19, 2007
- Last updated
- Sep 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R29443 | ND | |
| Ambulatory Care Registered Nurse | 163WP2201X | R29443 | ND | Primary |
| Occupational Health Registered Nurse | 163WX0106X | R29443 | ND |
Addresses
Primary practice location
5013 Wagon Wheel Cir
Mandan, ND 58554-1050
Mailing address
5013 Wagon Wheel Cir
Mandan, ND 58554-1050
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R29443 | ND | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508083015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 WAGON WHEEL CIR",
"city": "MANDAN",
"state": "ND",
"postal_code": "585541050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5013 WAGON WHEEL CIR",
"city": "MANDAN",
"state": "ND",
"postal_code": "585541050",
"telephone_number": "701-663-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINKNECHT",
"first_name": "JAMIE",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "ND",
"license": "R29443",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "ND",
"license": "R29443",
"primary": true
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "ND",
"license": "R29443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.