Amanda C Kleese, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

C103068 Issued in IA

Practice address

1230 S Iowa Ave
Washington, IA 52353-1144

Phone

(319) 653-7291

Fax

(319) 653-7440

NPI assigned

Aug 24, 2005

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amanda C Smith Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akleese264533@uihcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington County Hospital

  dba Washington County Hospital & Clinics

  • Critical Access Hospital
  • Washington, IA
  • NPI 1053305326
  Medicare reassignment
• Washington County Hospital

  dba Ken and Rosemary Hanson Specialty Clinic

  • Clinic/Center
  • Washington, IA
  • NPI 1215539952
  NPD

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1659364776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530909",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531144",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEESE",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "C103068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430876",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "36094",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SMITH",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jet PT PC
• Ben Bartholow Johnson, RPH
• Erin Kaufman, PT
• Dawn M Keith
• Julia Ann Kimball, RPH
• Sarah Jean Knerr, BA, RN
• Tiffany Lynn Knupp, FNP
• Deborah L Krotz-Dieleman, D.D.S.
• Teresa Krueger, NP
• Wyatt Louis Kurzejeski, DPT

• Nurse Practitioner in Washington, IA
• Providers in Washington, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.