Individual provider Active NPI

Victoria Klaetsch, APRN-CNP, IBCLC

  • Family Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1265880926
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228041 Issued in AR
Practice address
24 Sugar Creek Rd
North Little Rock, AR 72116-6332
Phone
(501) 258-3435
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R086103 AR
Lactation Consultant (Registered Nurse) 163WL0100X L50867 AR
Family Nurse Practitioner 363LF0000X 228041 AR Primary

Addresses

Primary practice location

24 Sugar Creek Rd
North Little Rock, AR 72116-6332

Mailing address

24 Sugar Creek Rd
North Little Rock, AR 72116-6332
Phone (501) 258-3435

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
R086103ARMDRegistered Nurse
L50867ARMDLactation Consultant (Registered Nurse)
228041ARMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1265880926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SUGAR CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166332",
            "telephone_number": "501-258-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SUGAR CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166332",
            "telephone_number": "501-258-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAETSCH",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R086103",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AR",
            "license": "L50867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.