Individual provider Active NPI

Hailey Therese Kleppe

  • Registered Nurse
  • Madison, WI
National Provider Identifier
1558914721
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
249666 Issued in WI
Practice address
533 Charles LN
Madison, WI 53711-1311
Phone
(608) 341-9246
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 24966-30 WI
Registered Nurse 163W00000X 249666 WI Primary

Addresses

Primary practice location

533 Charles LN
Madison, WI 53711-1311

Mailing address

533 Charles LN
Madison, WI 53711-1311
Phone (608) 341-9246

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.forwardhealth.wi.gov/WIPortal/ Direct

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

LicenseStateTypeSpecialty
24966-30WIMDRegistered Nurse
249666WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1558914721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CHARLES LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111311",
            "telephone_number": "608-341-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 CHARLES LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111311",
            "telephone_number": "608-341-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPE",
        "first_name": "HAILEY",
        "middle_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "24966-30",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "249666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.forwardhealth.wi.gov/WIPortal/",
            "affiliation": "N",
            "endpointDescription": "Forward Health Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Duty Healthcare",
            "address_1": "533 Charles Ln",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537111311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.