Individual provider Active NPI

Jennifer Kay-Berene Klein, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1669517033
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
711619 Issued in TX
Practice address
219 Sunset Ave Ste 116a
Dallas, TX 75208-4531
Phone
(972) 807-7370
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 711619 TX Primary

Addresses

Primary practice location

219 Sunset Ave Ste 116a
Dallas, TX 75208-4531

Mailing address

3900 Junius St Ste 300
Dallas, TX 75246-1602
Phone (972) 807-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050329000921 TX Practitioner - Nurse Practitioner 6305892704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Arms, Inc.Group PAC ID 7719940774, 18 clinicians

Practice addresses (Care Compare)

219 Sunset Ave
Suite 116a
Dallas, TX 75208-4531
Phone (972) 807-7370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Arms, Inc. Family CurrentSince May 11, 2009 Accepting new patients
AIDS Arms, Inc. CurrentSince May 11, 2009 Accepting new patients
Martin Luther King Jr Family Clinic Past Accepting new patients

Locations

1906 Peabody Ave
Dallas, TX 75215
Phone (214) 303-1102

3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191

351 W Jefferson Blvd
Ste 300
Dallas, TX 75208

4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830

219 Sunset Ave
Ste 116A
Dallas, TX 75208
Phone (469) 749-7822

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

Interoperability endpoints

  • Direct secure messaging: jennifer.klein.1@29669.direct.athenahealth.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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1669517033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461602",
            "telephone_number": "972-807-7370",
            "fax_number": "214-421-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SUNSET AVE STE 116A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084531",
            "telephone_number": "972-807-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JENNIFER",
        "middle_name": "KAY-BERENE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "711619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.