Individual provider Active NPI

Lynn Klett

  • Pediatric Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1578956546
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5007524 Issued in NC
Practice address
719 Green Valley Rd
Suite 209
Greensboro, NC 27408-7014
Phone
(336) 272-9447
Fax
(336) 272-2112
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 5007524 NC Primary

Addresses

Primary practice location

719 Green Valley Rd
Suite 209
Greensboro, NC 27408-7014

Mailing address

719 Green Valley Rd Ste 209
Greensboro, NC 27408-7025
Phone (336) 272-9447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lklett58269@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115001653 NC Practitioner - Nurse Practitioner 9739613597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Aug 17, 2024 Accepting new patients
Moses Cone Physician Services Inc Current Accepting new patients
Moses Cone Affiliated Physicians, Inc. Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Interoperability endpoints

  • Direct secure messaging: lklett58269@direct.conehealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1578956546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD STE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087025",
            "telephone_number": "336-272-9447",
            "fax_number": "336-272-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "SUITE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-272-9447",
            "fax_number": "336-272-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETT",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5007524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lklett58269@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone EHealth Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "719 Green Valley Rd",
            "address_2": "suite 209",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.