Heather A Klein

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN207051 Issued in GA

Practice address

244 Peachtree St
Jesup, GA 31545-0212

Phone

(912) 385-2453

Fax

(912) 559-2083

NPI assigned

May 11, 2017

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_hklein1@landmarkhealth-direct.org

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.

• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1326594714
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1639605678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 MAIN ST S",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315536159",
            "telephone_number": "912-462-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450212",
            "telephone_number": "912-385-2453",
            "fax_number": "912-559-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9355 Main St S",
            "address_purpose": "LOCATION",
            "city": "Nahunta",
            "state": "GA",
            "postal_code": "315536159",
            "country_code": "US",
            "telephone_number": "912-462-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HEATHER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN207051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kelley, FNP
• J Lex Kenerly III, MD
• Shae Kennedy
• Jonathan Paul Kiff, PA-C
• Halei Alise Kirkland, FNP-BC
• Kreslyn B Odum & Associates, PC (Family Eye Care)
• Kim Kathleen Kuebler, NP
• Hannah Elaine Kurrasch, RBT
• Marissa Lairsey
• Lawson Physical Therapy (Advantage Physical Therapy)

• Nurse Practitioner in Jesup, GA
• Providers in Jesup, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.