Active NPI
Alicia Anne Klein, NP
- Pediatric Nurse Practitioner
- Columbus, OH
National Provider Identifier
1710212659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.11008
- Practice address
- 700 Children's Drive
NNP Program
Columbus, OH 43205 - Phone
- (614) 722-6510
- Fax
- (614) 722-4772
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | COA.11008-NP | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.11008 | OH | Primary |
Addresses
Primary practice location
700 Children's Drive
NNP Program
Columbus, OH 43205
Mailing address
700 Children's Drive
NNP Program
Columbus, OH 43205
Phone (614) 722-6510
Other practice location 1
5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3023454 | Medicaid | OH |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.11008-NP | OH | MD | Critical Care Neonatal Nurse Practitioner |
| APRN.CNP.11008 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health | Past | Accepting new patients |
Interoperability endpoints
- aklein1734580@direct.trinity-health.org
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 and National Provider Directory roles.
-
dba Metro West Internal Medicine
- Internal Medicine Physician
- Columbus, OH
- NPI 1790708147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1710212659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"address_2": "NNP PROGRAM",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "614-722-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"address_2": "NNP PROGRAM",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "614-722-4772"
}
],
"practiceLocations": [
{
"address_1": "5300 N Meadows Dr",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "431232546",
"country_code": "US",
"telephone_number": "614-663-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEIN",
"first_name": "ALICIA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "COA.11008-NP",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.11008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3023454",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.