Elizabeth Melville Klements, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

137478 Issued in MA

Practice address

1029 Pleasant St
Bridgewater Pediatrics
Bridgewater, MA 02324

Phone

(508) 697-8116

Fax

(508) 697-8117

NPI assigned

Oct 13, 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

Other names 1

• Elizabeth Melville Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1124016142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "BRIDGEWATER PEDIATRICS",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST",
            "address_2": "BRIDGEWATER PEDIATRICS",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-697-8116",
            "fax_number": "508-697-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENTS",
        "first_name": "ELIZABETH",
        "middle_name": "MELVILLE",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "137478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378950",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MELVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Despina Kiely
• King Solomn Humanitarian Foundation
• Barbara King
• Andrew Philip Kissell, D.D.S.
• Moshe Klausner, MD
• Joseph Maxwell Knapp
• Takaaki Kodani
• Destini Jazzmyn Kohnen, LMHC
• Karen M Kovacs, N.P.
• Jamie Gail Krauss, PH.D.

• Pediatric Nurse Practitioner in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.