Active NPI
Kristine Ann Klafehn, LPN
- Licensed Practical Nurse
- Hamlin, NY
National Provider Identifier
1336348754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 174742-1
- Practice address
- 1363 Brookedge Dr
Hamlin, NY 14464-9361 - Phone
- (585) 964-2113
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 174742-1 | NY | Primary |
Addresses
Primary practice location
1363 Brookedge Dr
Hamlin, NY 14464-9361
Mailing address
1363 Brookedge Dr
Hamlin, NY 14464-9361
Phone (585) 964-2113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01705628 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 174742-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1336348754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 BROOKEDGE DR",
"city": "HAMLIN",
"state": "NY",
"postal_code": "144649361",
"telephone_number": "585-964-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 BROOKEDGE DR",
"city": "HAMLIN",
"state": "NY",
"postal_code": "144649361",
"telephone_number": "585-964-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAFEHN",
"first_name": "KRISTINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "174742-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01705628",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamlin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.