Scot Klein, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

63149 Issued in ID

Practice address

3188 W Wind CT
Eagle, ID 83616-4692

Phone

(208) 794-6975

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By the provider in NPPES

Sex

Male

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1174169254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 W WIND CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164692",
            "telephone_number": "208-794-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 W WIND CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164692",
            "telephone_number": "208-794-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SCOT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "63149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam David Kipp, D.C.
• Adam Paul Kipp, MD, MPH
• Kirsch Wellness LLC (Kirsch Health and Wellness Clinic)
• Tara Anne Kishpaugh, LAT, AT.,C
• Stormy M Kleffner, AU.D.
• Taneesha Mishel Knight
• Daniel Stewart Knorpp, D.O.
• Kraig Kurtis Knotts, D.C.
• Heather Nicole Knutson, N.P.
• Megan Koehler, LPC

• Family Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.

Verify at the official NPI Registry.