Individual provider Active NPI

Janet D Klocke, RN

  • Endocrinology, Diabetes & Metabolism Physician
  • West Fargo, ND
National Provider Identifier
1679710347
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R18012 Issued in ND
Practice address
1200 Sheyenne
West Fargo, ND 58078
Phone
(701) 234-2245
Fax
(701) 234-4456
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R18012 ND Primary

Addresses

Primary practice location

1200 Sheyenne
West Fargo, ND 58078

Mailing address

1200 Sheyenne
West Fargo, ND 58078
Phone (701) 234-2245

Other names 1

  • Janet D Sims Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R18012NDMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1679710347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SHEYENNE",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-234-2245",
            "fax_number": "701-234-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHEYENNE",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-234-2245",
            "fax_number": "701-234-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCKE",
        "first_name": "JANET",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ND",
            "license": "R18012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "SIMS",
            "middle_name": "D",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.