Individual provider Active NPI

Andrea Lauren Klein, ARNP, CPNP

  • Pediatric Nurse Practitioner
  • Windsor Heights, IA
National Provider Identifier
1497286538
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C128984 Issued in IA
Practice address
974 73Rd Street
Suite 33
Windsor Heights, IA 50324-1026
Phone
(515) 223-4146
Fax
(515) 223-1172
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C128984 IA Primary

Addresses

Primary practice location

974 73Rd Street
Suite 33
Windsor Heights, IA 50324-1026

Mailing address

974 73Rd Street
Suite 33
Windsor Heights, IA 50324-1026
Phone (515) 223-4146

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C128984IAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1497286538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD STREET",
            "address_2": "SUITE 33",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241026",
            "telephone_number": "515-223-4146",
            "fax_number": "515-223-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD STREET",
            "address_2": "SUITE 33",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241026",
            "telephone_number": "515-223-4146",
            "fax_number": "515-223-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ANDREA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C128984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.