Individual provider Active NPI

Mary Elizabeth Cecelia Klein, APRN

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1508703794
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01260605 Issued in FL
Practice address
3385 Burns Rd Ste 106
Palm Beach Gardens, FL 33410-4328
Phone
(561) 691-0100
NPI assigned
May 4, 2026
Reactivated
Jun 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01260605 FL Primary

Addresses

Primary practice location

3385 Burns Rd Ste 106
Palm Beach Gardens, FL 33410-4328

Mailing address

215 Charter Way
West Palm Beach, FL 33407-6645
Phone (239) 675-8156

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

State licenses

LicenseStateTypeSpecialty
F01260605FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1508703794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CHARTER WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076645",
            "telephone_number": "239-675-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-691-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARY ELIZABETH",
        "middle_name": "CECELIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-05-04",
        "deactivation_date": "2026-06-02",
        "reactivation_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F01260605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.