Individual provider Active NPI

Jennifer Ann Kleeman, COTA/L

  • Occupational Therapy Assistant
  • Richmond, MO
National Provider Identifier
1962272773
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2001012254 Issued in MO
Practice address
1017 E Main St
Richmond, MO 64085-1911
Phone
(816) 776-6912
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
2001012254MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Public R-Xvi School Dist PastSince Jan 7, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2001012254 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1017 E Main St
Richmond, MO 64085-1911

Mailing address

1017 E Main St
Richmond, MO 64085-1911
Phone (816) 776-6912

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2024.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1962272773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E MAIN ST",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851911",
            "telephone_number": "816-776-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E MAIN ST",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851911",
            "telephone_number": "816-776-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEMAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2001012254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.