Active NPI
Renee Klemz, -
- Registered Nurse
- Muskego, WI
National Provider Identifier
1053598383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- S70W18739 Gold Dr
Muskego, WI 53150-9080 - Phone
- (262) 679-5919
- NPI assigned
- Jan 29, 2008
- Last updated
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WI | Primary |
Addresses
Primary practice location
S70W18739 Gold Dr
Muskego, WI 53150-9080
Mailing address
S70W18739 Gold Dr
Muskego, WI 53150-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35045800 | Medicaid | WI |
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 |
|---|---|---|---|
| 109171-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1053598383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S70W18739 GOLD DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531509080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S70W18739 GOLD DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531509080",
"telephone_number": "262-679-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMZ",
"first_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "-",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35045800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.