Active NPI
Nancy Lou Kline, ANP/APRN
- Adult Health Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1013942465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 000755
- Practice address
- 133 Scovill Street-Waterbury VA Community Based Clinic
#203
Waterbury, CT 06706 - Phone
- (203) 465-5292
- Fax
- (203) 465-5296
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 000755 | CT | Primary |
Addresses
Primary practice location
133 Scovill Street-Waterbury VA Community Based Clinic
#203
Waterbury, CT 06706
Mailing address
14 Woodside Drive
Woodbridge, CT 06525
Phone (203) 397-3535
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000755 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013942465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WOODSIDE DRIVE",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "06525",
"telephone_number": "203-397-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SCOVILL STREET-WATERBURY VA COMMUNITY BASED CLINIC",
"address_2": "#203",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06706",
"telephone_number": "203-465-5292",
"fax_number": "203-465-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "NANCY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "ANP/APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "000755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.