Liza Kim Klein, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216858 Issued in GA

Practice address

1220 Augusta West Pkwy
Augusta, GA 30909-6599

Phone

(706) 650-1522

NPI assigned

Oct 29, 2021

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pruitthealth Hospice, Inc

  • Community Based Hospice Care Agency
  • Swainsboro, GA
  • NPI 1013955749

  GA

  Medicare reassignment Care Compare group NPD
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1780622902
  Care Compare group NPD
• Pruitthealth Hospice, Inc

  • Community Based Hospice Care Agency
  • Valdosta, GA
  • NPI 1063450666
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Gainesville, GA
  • NPI 1154369171
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Cordele, GA
  • NPI 1154369247
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Bogart, GA
  • NPI 1225076821
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1235177205
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Norcross, GA
  • NPI 1316985336
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Blue Ridge, GA
  • NPI 1417995556
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Calhoun, GA
  • NPI 1659319739
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Union City, GA
  • NPI 1770740086
  Care Compare group
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Rome, GA
  • NPI 1841238441
  Care Compare group

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1306500913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 FULL CIRCLE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098041",
            "telephone_number": "706-284-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096599",
            "telephone_number": "706-650-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LIZA",
        "middle_name": "KIM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kittle, M.D.
• Zachary William Abraham Klaassen, M.D.
• Peter George Klacsmann, MD
• Darlene Klein, PHD
• Kandace Rhea Klein, D.O.
• Susan Marie Klein, P.A.
• Matthew Todd Kleinbub, M.D.
• Katherine E. Klemann, M.D.
• Amber Klepsch
• Daniel Thomas Kleven, M.D.

• All providers in Augusta, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.