Caitlin Klockner, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2348063 Issued in MA

Practice address

20 Windsor Rd
Medford, MA 02155-5918

Phone

(978) 808-3333

NPI assigned

Jul 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

87.03 of 100Reported as group

Quality

86.03

Promoting interoperability

99

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1194450684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINDSOR RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555918",
            "telephone_number": "978-808-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WINDSOR RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555918",
            "telephone_number": "978-808-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCKNER",
        "first_name": "CAITLIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "2348063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Yih Kingston
• Ira N Kirschenbaum, M.D.
• Kathia Engler Kirschner, MAOM
• Elizabeth Jane Kirshenbaum
• Ellen Diana Klee, NP
• Zoe Elizabeth Knijn
• Bing Ko, M.D., SC.D.
• Steffi Koerner
• Zara Konarski, PMHCNS
• Kalyan Chakravarthy Kondreddi, DMD

• Primary Care Nurse Practitioner in Medford, MA
• Providers in Medford, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.