Individual provider Active NPI

Kiersten Kleaving

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1811482912
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
244788 Issued in KY
Practice address
2780 Frederica St
Owensboro, KY 42301-5442
Phone
(270) 926-4100
Fax
(270) 684-4678
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 244788 KY Primary

Addresses

Primary practice location

2780 Frederica St
Owensboro, KY 42301-5442

Mailing address

2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-4100

Other practice location 1

537 W Melchoir Dr N
Santa Claus, IN 47579-6291
Phone (812) 661-8725

Other names 1

  • Kiersten Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721002903 KY Practitioner - Occupational Therapist in Private Practice 1658774179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244788KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics & Sports Medicine Owensboro PSC Occupational Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

2831 New Hartford Rd
Owensboro, KY 42303
Phone (270) 926-2131

2780 Frederica St
Owensboro, KY 42301
Phone (270) 926-4100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1811482912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015442",
            "telephone_number": "270-926-4100",
            "fax_number": "270-684-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015442",
            "telephone_number": "270-926-4100",
            "fax_number": "270-684-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 W Melchoir Dr N",
            "address_purpose": "LOCATION",
            "city": "Santa Claus",
            "state": "IN",
            "postal_code": "475796291",
            "country_code": "US",
            "telephone_number": "812-661-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEAVING",
        "first_name": "KIERSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "244788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERSTEN",
            "last_name": "KENNEDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.