Individual provider Active NPI

Roberta Beth Kleinman

  • Registered Nurse
  • Pompano Beach, FL
National Provider Identifier
1386882165
Registry record updated Feb 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1794902 Issued in FL
Practice address
2501 NW 34TH PL
#35
Pompano Beach, FL 33069-5928
Phone
(954) 975-3787
Fax
(954) 975-3786
NPI assigned
Feb 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2009

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 RN1794902 FL Primary

Addresses

Primary practice location

2501 NW 34TH PL
#35
Pompano Beach, FL 33069-5928

Mailing address

2501 NW 34TH PL
#35
Pompano Beach, FL 33069-5928
Phone (954) 975-3787

Other names 1

  • Mrs. Roberta Beth Niederman Former name

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

LicenseStateTypeSpecialty
RN1794902FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1386882165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL",
            "address_2": "#35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695928",
            "telephone_number": "954-975-3787",
            "fax_number": "954-975-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NW 34TH PL",
            "address_2": "#35",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695928",
            "telephone_number": "954-975-3787",
            "fax_number": "954-975-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "ROBERTA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1794902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "NIEDERMAN",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "R,N./CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; 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.