Active NPI
Justin Klein
- Registered Dietitian
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81095
- Practice address
- 2901 N 4TH St
Longview, TX 75605-5128 - Phone
- (903) 233-4771
- NPI assigned
- Apr 19, 2010
- Last updated
- Apr 19, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81095 | TX | Primary |
Addresses
Primary practice location
2901 N 4TH St
Longview, TX 75605-5128
Mailing address
2901 N 4TH St
Longview, TX 75605-5128
Phone (903) 233-4771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Poyntz Ave
Manhattan, KS 66502-4361
720 Poyntz Ave
Manhattan, KS 66502-6355
Phone (785) 338-8938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81095 | TX | MD | Registered Dietitian |
| 2561 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rethink Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1201 Poyntz Ave
Manhattan, KS 66502
Phone (785) 338-8938
720 Poyntz Ave
Manhattan, KS 66502
Phone (785) 320-7331
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1467682567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1093031866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055128",
"telephone_number": "903-233-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055128",
"telephone_number": "903-233-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.