Active NPI
Nicole J Klein, PHD, RN
- Registered Nurse
- Spanaway, WA
National Provider Identifier
1568240489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00158491
- Practice address
- 1705 199TH Street CT. E
Spanaway, WA 98387 - Phone
- (253) 761-6406
- NPI assigned
- Sep 20, 2023
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00158491 | WA | Primary |
| Case Management Registered Nurse | 163WC0400X | RN00158491 | WA | |
| College Health Registered Nurse | 163WC1400X | RN00158491 | WA | |
| Community Health Registered Nurse | 163WC1500X | RN00158491 | WA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN00158491 | WA | |
| General Practice Registered Nurse | 163WG0000X | RN00158491 | WA | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN00158491 | WI | |
| Nutrition Support Registered Nurse | 163WN1003X | RN00158491 | WA | |
| Pediatric Registered Nurse | 163WP0200X | RN00158491 | WA | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN00158491 | WA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN00158491 | WA | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN00158491 | WA | |
| School Registered Nurse | 163WS0200X | RN00158491 | WA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN00158491 | WA |
Addresses
Primary practice location
1705 199TH Street CT. E
Spanaway, WA 98387
Mailing address
1705 199TH Street CT. E
Spanaway, WA 98387
Phone (253) 761-6406
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
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00158491 | WA | MD | General Practice Registered Nurse |
| RN00158491 | WI | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1568240489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 199TH STREET CT. E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "98387",
"telephone_number": "253-761-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 199TH STREET CT. E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "98387",
"telephone_number": "253-761-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "NICOLE",
"middle_name": "J",
"credential": "PHD, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00158491",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "WI",
"license": "RN00158491",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN00158491",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "RN00158491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.