Sara Marie Klaus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

903753 Issued in MS

Practice address

2550 Flowood Dr Ste 100
Flowood, MS 39232-9304

Phone

(601) 939-1444

NPI assigned

Feb 12, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1194357616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SUNNYCREST DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572536",
            "telephone_number": "601-212-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR STE 100",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329304",
            "telephone_number": "601-939-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUS",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "903753",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Prestage King, MOTR/L
• Madeline King, PT, DPT
• Michael Shane King, CRNA
• Caroline Kitchens, PHARMD
• Max Keith Klaus, D.M.D.
• Lance P Klein, NP
• Mark N. Klein, MD
• Christopher James Kneip, M.D.
• Leanne Knight, M.ED., LPC, BSN, RN
• Mary Kobold, RPH

• Nurse Practitioner in Flowood, MS
• Providers in Flowood, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.