Kathleen M. Kloeckner, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

145663 Issued in MO

Practice address

100 Medical PLZ
Lake St Louis, MO 63367-1366

Phone

(314) 808-5963

NPI assigned

Oct 29, 2008

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• State of Montana

  dba Montana Veterans Home

  • Skilled Nursing Facility
  • Columbia Falls, MT
  • NPI 1356351183
  NPD

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1336392711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6597 SCANLAN AVE",
            "address_2": "APT 1E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392443",
            "telephone_number": "314-808-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671366",
            "telephone_number": "314-808-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOECKNER",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "145663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly C Berni MD LLC
• Kinetic PT LLC
• Heather Lynn Kinsey, M.S.,CCC-SLP
• Kirks Eye Center, PC
• Marissa Kistner, M.ED., LPC
• Michelle J. Koerner, MED, LPC
• Melvin Eugene Kottwitz, RPH
• Tia L Kraemer, MA, LPC
• Robert Elroy Kraetsch, MD
• Andrew Edward Kreutzer

• Adult Health Nurse Practitioner in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.