Individual provider Active NPI

Andrew Klie, NREMT-P

  • Paramedic
  • Lexington, SC
National Provider Identifier
1215365127
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
SC021229 Issued in SC
Practice address
1448 S Lake Dr
Lexington, SC 29073-8356
Phone
(803) 399-8247
Fax
(803) 399-8230
NPI assigned
Oct 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X SC021229 SC Primary

Addresses

Primary practice location

1448 S Lake Dr
Lexington, SC 29073-8356

Mailing address

1448 S Lake Dr
Lexington, SC 29073-8356
Phone (803) 399-8247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC021229SCMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Emergency Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1215365127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738356",
            "telephone_number": "803-399-8247",
            "fax_number": "803-399-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738356",
            "telephone_number": "803-399-8247",
            "fax_number": "803-399-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIE",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "NREMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "SC021229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.