Active NPI
Courtney Burns Kleber, M.D.
- Pediatrics Physician
- Seymour, IN
National Provider Identifier
1962406405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01049004A
- Practice address
- 1171 W Tipton St
Ste D
Seymour, IN 47274-2794 - Phone
- (812) 524-8780
- Fax
- (812) 524-8746
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 01049004A | IN | Primary |
Addresses
Primary practice location
1171 W Tipton St
Ste D
Seymour, IN 47274-2794
Mailing address
1171 W Tipton St
Ste D
Seymour, IN 47274-2794
Phone (812) 524-8780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200266250 | Medicaid | IN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049004A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seymour Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Seymour, IN
- NPI 1538256003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1962406405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 W TIPTON ST",
"address_2": "STE D",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742794",
"telephone_number": "812-524-8780",
"fax_number": "812-524-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W TIPTON ST",
"address_2": "STE D",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742794",
"telephone_number": "812-524-8780",
"fax_number": "812-524-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEBER",
"first_name": "COURTNEY",
"middle_name": "BURNS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01049004A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200266250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.