Jerri Klein

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

15324 Issued in MO

Practice address

1008 County Road 32B
Ironton, MO 63650-7553

Phone

(314) 808-3834

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2017.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1477094670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015748",
            "telephone_number": "505-722-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 COUNTY ROAD 32B",
            "city": "IRONTON",
            "state": "MO",
            "postal_code": "636507553",
            "telephone_number": "314-808-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron County Health Department
• Ironton Care Center LLC
• Ironton Residential Care, LLC
• Bradley Charles Jackson
• Tertia King, PT.MS
• Portia Leann Kniffin
• Heather L Lara Rizo, M.A. CCC-SLP
• Lone Pine Residential Care, LLC
• Charity Renee Mackley, M.A., CCC-SLP
• Sylvia Martin, RN

• All providers in Ironton, MO
• Medical-Surgical Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.