Individual provider Active NPI

Brenda Klee, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Lauderdale by the Sea, FL
National Provider Identifier
1437584034
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP9239048 Issued in FL
Practice address
265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone
(954) 772-3960
Fax
(954) 772-3981
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9239048 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP9239048 FL Primary

Addresses

Primary practice location

265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442

Mailing address

265 Commercial Blvd
Lauderdale by the Sea, FL 33308-4442
Phone (954) 772-3960

Other names 1

  • Brenda Bassett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170119002717 FL Practitioner - Nurse Practitioner 6800178229 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9239048FLMDWomen's Health Nurse Practitioner
ARNP9239048FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Jun 26, 2016 Accepting new patients

Locations

265B Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (954) 772-3960

265 Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (954) 772-3960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1437584034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084442",
            "telephone_number": "954-772-3960",
            "fax_number": "954-772-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084442",
            "telephone_number": "954-772-3960",
            "fax_number": "954-772-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEE",
        "first_name": "BRENDA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9239048",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9239048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BASSETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

Verify at the official NPI Registry.