Lisa Anne Kluepfel, CRNP-AMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R213542 Issued in MD

Practice address

830 Chesapeake Dr
Cambridge, MD 21613-9408

Phone

(410) 228-6243

Fax

(410) 901-4065

NPI assigned

Aug 3, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730197930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHESAPEAKE DR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139408",
            "telephone_number": "410-228-6243",
            "fax_number": "410-901-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHESAPEAKE DR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139408",
            "telephone_number": "410-228-6243",
            "fax_number": "410-901-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUEPFEL",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-AMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400584-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479302100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keys2Cages Upton House LLC
• Tamseela Khan, O.D.
• Anthony Kimball
• Raymond Grant Kingsley, PH.D.
• Isaac Kloch, DPT
• Frederick Edwin Knowles III, M.D.
• Yvette Danielle Kovner, PSYD.
• Brittany Johnson Krautheim, CNM, WHNP-BC
• Rebekah Ann Kroeger, DNP, CNM
• Shelia Yvonne Kroon, CSC-AD

• Psychiatric/Mental Health Nurse Practitioner in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.