Tracy A Klein, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200350047NP Issued in OR

Practice address

650 N Devine Rd
Vancouver, WA 98661-6979

Phone

(360) 952-4457

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1124009709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82399",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N DEVINE RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616979",
            "telephone_number": "360-952-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200350047NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062075",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Klein
• Ashley Klein, LMT
• Jana Jo Klein, PT
• Linda Ruth Klein, MD
• Lora Irene Klein
• Mark Allen Kleinman, MD
• Scott Alan Kleinschmidt
• Tara Kay Kleinschmidt, SC 60929123
• Joseph Melvin Klemz, LICSW
• Alaina Klene, DO, MPH

• Family Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.