Active NPI
Nancy C. Klemm, NP
- Nurse Practitioner
- Urbana, IL
National Provider Identifier
1396815007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209000968
- Practice address
- 1818 E. Windsor Road
Adult Medicine/Geriatrics
Urbana, IL 61802 - Phone
- (217) 255-9700
- Fax
- (217) 383-4681
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209000968 | IL | Primary |
Addresses
Primary practice location
1818 E. Windsor Road
Adult Medicine/Geriatrics
Urbana, IL 61802
Mailing address
P.O. Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8300
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1396815007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E. WINDSOR ROAD",
"address_2": "ADULT MEDICINE/GERIATRICS",
"city": "URBANA",
"state": "IL",
"postal_code": "61802",
"telephone_number": "217-255-9700",
"fax_number": "217-383-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMM",
"first_name": "NANCY",
"middle_name": "C.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209000968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.