Alta Sue Klick, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45475 Issued in KS

Practice address

2456 N Woodlawn St
Wichita, KS 67220-3968

Phone

(316) 689-8677

Fax

(316) 688-1072

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Antonio L Osio MD PA

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1609831734
  NPD (past)
• Ascension Via Christi Rehabilitation Hospital, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1477504645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104925916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W SUNRISE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672175336",
            "telephone_number": "316-689-8677",
            "fax_number": "316-688-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203968",
            "telephone_number": "316-689-8677",
            "fax_number": "316-688-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICK",
        "first_name": "ALTA",
        "middle_name": "SUE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry D Klein, M.D.
• Thomas C Klein, M.D.
• Tracy R Klein, M.D.
• Dylan Klemmer
• Melissa Kaye Klepinger, RN
• Elizabeth Ann Kliewer Megee, RN
• Carolyn S Kliewer, PA-C
• Lacey Alison Kliewer, APRN
• Maurice Kliewer, MD
• Martin J Kline, PA-C

• All providers in Wichita, KS
• Family Nurse Practitioner in Kansas

• 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.

Verify at the official NPI Registry.