Individual provider Active NPI

Kristin Kliethermes

  • Family Nurse Practitioner
  • Dickinson, TX
National Provider Identifier
1659814606
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1016461 Issued in TX
Practice address
3828 Hughes CT
204
Dickinson, TX 77539-6244
Phone
(281) 534-1300
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1016461 TX Primary

Addresses

Primary practice location

3828 Hughes CT
204
Dickinson, TX 77539-6244

Mailing address

3828 Hughes CT
204
Dickinson, TX 77539-6244
Phone (281) 534-1300

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1016461TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cline Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kkliethermesfnp39719@direct.utmb.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1659814606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT",
            "address_2": "204",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396244",
            "telephone_number": "281-534-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT",
            "address_2": "204",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396244",
            "telephone_number": "281-534-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIETHERMES",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1016461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.