Active NPI
Elizabeth Boyle Kleinfelder, CRNP
- Family Nurse Practitioner
- Eastover, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5008522
- Practice address
- 3551 Dunn Rd
Eastover, NC 28312 - Phone
- (910) 483-6277
- Fax
- (910) 483-6369
- NPI assigned
- Mar 14, 2016
- Last updated
- Jun 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP015767 | PA | |
| Family Nurse Practitioner | 363LF0000X | 5008522 | NC | Primary |
Addresses
Primary practice location
3551 Dunn Rd
Eastover, NC 28312
Mailing address
3551 Dunn Rd Ste 101
Eastover, NC 28312-8794
Phone (717) 636-3255
Other practice location 1
8117 Preston Rd
Suite 800
Dallas, TX 75225-6332
Phone (214) 750-6407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015767 | PA | MD | Acute Care Nurse Practitioner |
| 5008522 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, North Carolina, P.C. | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Inc. | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital, Inc | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Texan Urgent Care PLLC | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (919) 267-0421
3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136
1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357
957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245
Interoperability endpoints
- ekleinfelder@goshenmedical.cloudcraftdirect.com
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Wilson, NC
- NPI 1043518228
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
dba SURGICAL ASSOCIATES of SCOTLAND
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
dba Marlboro Family Practice and Urgent Care
- Rural Health Clinic/Center
- Bennettsville, SC
- NPI 1770577611
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
dba Goshen Medical Center-Cape Fear
- Federally Qualified Health Center (FQHC)
- Fayetteville, NC
- NPI 1215366216
-
dba Wagram Family Practice
- Rural Health Clinic/Center
- Wagram, NC
- NPI 1891789970
-
dba FastMed Urgent Care
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1346545209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1134580442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 DUNN RD STE 101",
"city": "EASTOVER",
"state": "NC",
"postal_code": "283128794",
"telephone_number": "717-636-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 DUNN RD",
"city": "EASTOVER",
"state": "NC",
"postal_code": "28312",
"telephone_number": "910-483-6277",
"fax_number": "910-483-6369"
}
],
"practiceLocations": [
{
"address_1": "8117 Preston Rd",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752256332",
"country_code": "US",
"telephone_number": "214-750-6407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINFELDER",
"first_name": "ELIZABETH",
"middle_name": "BOYLE",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP015767",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5008522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.