Northshore Urology LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000005898 Issued in TN

Legal business name

NORTHSHORE UROLOGY LLC

Practice address

9625 Kroger Park Dr
Suite 500
Knoxville, TN 37922-5880

Phone

(865) 406-1264

Fax

(865) 539-0909

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie McQuay Klein, NPNPI 1740281468

Title

Owner

Phone

(865) 406-1264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie McQuay Klein, N.P.

  • Women's Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1740281468
  NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1639517626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880",
            "telephone_number": "865-406-1264",
            "fax_number": "865-539-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880",
            "telephone_number": "865-406-1264",
            "fax_number": "865-539-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MCQUAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-406-1264",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Endodontics PC
• Northshore Smiles Dentistry, PC (Northshore Smiles Dentistry)
• Northshore Specialty Eyecare PLLC (eyes on northshore)
• Northshore Specialty Eyecare PLLC
• Northshore Urgent Care
• Northside Chiropractic
• Northstar LLC (Active)
• John Anthony Norton, OPTICIAN
• Melanie Sue Norton, LCSW,
• Sara Lynne Norton, NP

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.