Active NPI
Kari Ann Leikert, D. O.
- Pediatrics Physician
- Ludington, MI
National Provider Identifier
1508815408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- KL011009
- Practice address
- 907 E Tinkham Ave.
Ludington, MI 49431-1464 - Phone
- (231) 843-3477
- Fax
- (231) 843-9042
- NPI assigned
- May 8, 2006
- Last updated
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | KL011009 | MI | Primary |
Addresses
Primary practice location
907 E Tinkham Ave.
Ludington, MI 49431-1464
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KL011009 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1508815408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-486-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E TINKHAM AVE.",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311464",
"telephone_number": "231-843-3477",
"fax_number": "231-843-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIKERT",
"first_name": "KARI",
"middle_name": "ANN",
"credential": "D. O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "KL011009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.