Individual provider Active NPI

Steven Lawrence Klug, LPN

  • Licensed Practical Nurse
  • Eau Claire, WI
National Provider Identifier
1528304847
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
29019-031 Issued in WI
Practice address
2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187
Phone
(715) 834-1078
Fax
(715) 834-1218
NPI assigned
Dec 13, 2012
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 29019-031 WI Primary

Addresses

Primary practice location

2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187

Mailing address

2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187
Phone (715) 834-1078

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
29019-031WIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Metro Treatment Center Past Accepting new patients
Eau Claire Metro Treatment Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1528304847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "STEVEN",
        "middle_name": "LAWRENCE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-13",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "29019-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.