Nicole W Klett, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

200800059 Issued in NC

Practice address

120 William Penn PLZ
Durham, NC 27704-2150

Phone

(919) 220-5255

Fax

(919) 313-1276

NPI assigned

Aug 3, 2006

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

Other identifiers 1

Other names 1

• Nicole Wertz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lexington County Health Services District, Inc.

  dba Kaushal KP Sinha

  • Orthopaedic Surgery Physician
  • West Columbia, SC
  • NPI 1104844968
  NPD (past)
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1811922164
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1396753711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETT",
        "first_name": "NICOLE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "200800059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WERTZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Igor Klem, MD
• Nicholas Donald Klemen, M.D.
• Jillian Klemm, M.S. CCC SLP
• Matthew Scott Klepper, FNP
• Renee Georgia Stephanie Kleris, M.D.
• Madison Kleveland
• Mickayla M Kleyn, SLP
• Annie Kleynerman, MD
• Alison Kliegman
• Christopher Scott Klifto, M.D.

• Rheumatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.