Individual provider Active NPI

Nathan Joseph Klein, FNP-C

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1417469982
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AP10605 Issued in AZ
Practice address
19646 N 27TH Ave Ste 305
Phoenix, AZ 85027-4027
Phone
(480) 556-0446
Fax
(480) 556-0447
NPI assigned
Oct 24, 2017
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10605 AZ
Dermatology Physician 207N00000X AP10605 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave Ste 305
Phoenix, AZ 85027-4027

Mailing address

20401 N 73Rd St Ste 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322000794 AZ Practitioner - Nurse Practitioner 6800158346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathamy LLCGroup PAC ID 6406229376, 3 clinicians
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

Surprise, AZ 85387
Phone (866) 433-7666

19646 N 27TH Ave
Suite 305
Phoenix, AZ 85027-4027
Phone (480) 556-0446

Merit-based Incentive Payment System (MIPS)

Final score
76.1 of 100Reported as group
Quality
73.66
Promoting interoperability
100
Improvement activities
40
Cost
46.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10605AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathamy LLC Dermatology CurrentSince Nov 15, 2022 Accepting new patients
Richard Lee Averitte Jr., PLLC PastSince Mar 1, 2020 Accepting new patients
Richard Lee Averitte Jr PLLC Dermatology PastSince May 18, 2026 Accepting new patients
Richard Lee Averitte Jr., PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathanklein@ad.allscriptsdirect.net
  • Direct secure messaging: nklein@dermnow.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1417469982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274027",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10605",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "AP10605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.