Audrey Catherine Klecka, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024191406 Issued in VA

Practice address

1005 Commercial LN Ste 220
Suffolk, VA 23434-8149

Phone

(757) 668-2600

NPI assigned

Oct 4, 2024

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childrens Medical Group Inc

  • Pediatrics Physician
  • Suffolk, VA
  • NPI 1144468836
  NPD (past)
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1649099862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 BIRCHWOOD AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215302",
            "telephone_number": "757-928-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN STE 220",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-668-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKA",
        "first_name": "AUDREY",
        "middle_name": "CATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF NURSING LICENSE",
            "identifier": "0024191406",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F08240389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy P King, NP
• Tabitha King, LMT
• Casey Harp Kirlin
• Myecha Kitchen, LCSW
• Crystal Kittrell-Johnson, PHD, LPC
• Sandra Klingmeyer Wiggins
• Tracy L Knaak, PA-C
• Richard D Knauft, M.D.
• Cheryl Knight
• Knox Audiology LLC

• Family Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.