Jacqueline Klotz, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5022510 Issued in NC

Practice address

105 Haverstock CT
Cary, NC 27513-4930

Phone

(910) 548-5162

NPI assigned

Jun 6, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1194619718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAVERSTOCK CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134930",
            "telephone_number": "910-548-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HAVERSTOCK CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134930",
            "telephone_number": "910-548-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5022510",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95033890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Klemm
• Michael Klepper, MD
• Candice Kliewer
• Amy Kline, LPC
• Michael Wayne Klinkner, M.D.
• Jordan Nicole Klugh
• KM Pediatric Therapy, Inc.
• Kathy Knapp
• Patricia Ruth Knaudt, M.D.
• Joshua A Knight, P-LCSW, LCAS

• Primary Care Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.