John Klube Jr., NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN.0995920-NP Issued in CO

Practice address

2502 E Pikes Peak Ave
Colorado Springs, CO 80909-6033

Phone

(719) 466-8777

NPI assigned

Jan 3, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: john.klube@1016694758113284.direct.elationemr.com

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1679161996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 HARVEST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171015",
            "telephone_number": "719-482-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096033",
            "telephone_number": "719-466-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUBE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0995920-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Allen Kloehn
• Teresa Klokkenga
• Lauren Klos-Burns
• Douglas Wayne Kloss, D.C.
• Nathan Philip Klotz, LPC
• Benjamin Joseph Kluck, PH.D.
• Morrisie Kludt
• Kaeli Kluesner, D.O.
• Stacey Klug, MA, NCC
• Miriam Kluitenberg

• Gerontology Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Gerontology Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.