Jamie Dawn Klinginsmith

Primary specialty

Dance TherapistTaxonomy code 225600000X

License

61-1885971 Issued in AZ

Practice address

5270 N 59TH Ave Ste 9
Glendale, AZ 85301-6763

Phone

(623) 235-1446

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Step It Up Dance Therapy LLC

  • Dance Therapist
  • Glendale, AZ
  • NPI 1649753534

  Art Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1407337918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 W COLTER ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035819",
            "telephone_number": "623-235-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 N 59TH AVE STE 9",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016763",
            "telephone_number": "623-235-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGINSMITH",
        "first_name": "JAMIE",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "AZ",
            "license": "61-1885971",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "AZ",
            "license": "61-1885971",
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "AZ",
            "license": "61-1885971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Kleven, M.S.
• Robert D Klimek, LISAC
• Amber Kline
• N. Paul Kline, D.D.S.
• Jourdan Charlotte Klingbeil, LPC
• Kmi Care
• Valory Kneib
• Kimberly Knight, PTA
• Nancy Lee Knobloch, RN
• Sharan Kaur Knott

• Dance Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dance Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.