Connie Lee (Becker) Klopfenstein, APRN, CS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN R070429 Issued in GA

Practice address

1501A Kalamazoo Dr
Griffin, GA 30224-3919

Phone

(770) 358-8280

Fax

(770) 229-3373

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

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 and National Provider Directory roles.

• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497871313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 DUMBARTON LN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693602",
            "telephone_number": "770-487-8384",
            "fax_number": "770-487-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501A KALAMAZOO DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243919",
            "telephone_number": "770-358-8280",
            "fax_number": "770-229-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPFENSTEIN",
        "first_name": "CONNIE",
        "middle_name": "LEE (BECKER)",
        "name_prefix": "Ms.",
        "credential": "APRN, CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN R070429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN  RN LICENSE NUMBER",
            "identifier": "RN R070429",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Mark Kirkland, DMD
• Karla Jean Kistner, M.S., CCC-A
• Gary Thomas Kittrell, PHD
• KJ Adult Care ,LLC
• Alyssa Klinger
• Taylor Kohn
• Chelsae Patricia Kopp, MD
• Nageshwar Reddy Kothur, MD
• Bryan Keith Krepps, MD
• Kroger Co

• Psychiatric/Mental Health Clinical Nurse Specialist in Griffin, GA
• Providers in Griffin, GA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.