Individual provider Active NPI

Douglas E Klier, R.N.

  • Registered Nurse
  • Mentor, OH
National Provider Identifier
1275821373
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 370055 Issued in OH
Practice address
8701 Mentor Ave
Mentor, OH 44060-6103
Phone
(440) 266-0770
Fax
(440) 266-0257
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 370055 OH Primary

Addresses

Primary practice location

8701 Mentor Ave
Mentor, OH 44060-6103

Mailing address

8701 Mentor Ave
Mentor, OH 44060-6103
Phone (440) 266-0770

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 370055OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Behavioral Health Services, LLC PastSince Dec 18, 2008 Accepting new patients
B. Sharif MD, Inc Past Accepting new patients

Organizations & group practices 2

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1275821373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606103",
            "telephone_number": "440-266-0770",
            "fax_number": "440-266-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIER",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 370055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.