Active NPI
Amy M Kloke, MS, CCC-A
- Audiologist
- Excelsior, MN
National Provider Identifier
1356598544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8238
- Practice address
- 675 Water St
Excelsior, MN 55331-3072 - Phone
- (952) 925-5626
- Fax
- (952) 925-0223
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8238 | MN | Primary |
Addresses
Primary practice location
675 Water St
Excelsior, MN 55331-3072
Mailing address
675 Water St
Excelsior, MN 55331-3072
Phone (952) 925-5626
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1356598544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 WATER ST",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553313072",
"telephone_number": "952-925-5626",
"fax_number": "952-925-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 WATER ST",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553313072",
"telephone_number": "952-925-5626",
"fax_number": "952-925-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOKE",
"first_name": "AMY",
"middle_name": "M",
"credential": "MS, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "8238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Excelsior, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.