Active NPI
Naomi Klein, NP
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
National Provider Identifier
1033228143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024166682
- Practice address
- 10005 Old Columbia Rd Ste L260
Columbia, MD 21046 - Phone
- (443) 259-0400
- NPI assigned
- Aug 30, 2006
- Last updated
- May 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC000258 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024166682 | VA | Primary |
Addresses
Primary practice location
10005 Old Columbia Rd Ste L260
Columbia, MD 21046
Mailing address
10005 Old Columbia Rd Ste L260
Columbia, MD 21046-1722
Phone (443) 259-0400
Other practice location 1
8316 Arlington Blvd
#600
Fairfax, VA 22031-5207
Phone (703) 698-5220 ext. 317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600314 | Other | VALUE OPTIONS | |
| 0084 | Other | DC | CAREFIRST |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC000258 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024166682 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- naomi.klein@msa-the-child-adolescent.direct.kno2fy.com
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1033228143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10005 OLD COLUMBIA RD STE L260",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461722",
"telephone_number": "443-259-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 OLD COLUMBIA RD STE L260",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21046",
"telephone_number": "443-259-0400"
}
],
"practiceLocations": [
{
"address_1": "8316 Arlington Blvd",
"address_2": "#600",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220315207",
"country_code": "US",
"telephone_number": "703-698-5220 x317",
"fax_number": "703-573-2351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEIN",
"first_name": "NAOMI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC000258",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024166682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "600314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0084",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.