Lara Klein, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

139694 Issued in AZ

Practice address

Route N12 & N7
Fort Defiance, AZ 86504

Phone

(928) 729-8616

Fax

(928) 729-8624

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1760191175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040093",
            "telephone_number": "928-499-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE N12 & N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8616",
            "fax_number": "928-729-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "139694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Grace Kelly, FNP
• Scott A Kelso, M.D.
• Jonathan Thomas Keown, PT, DPT
• Cindy Khoury, NURSE
• Linda Johnson King
• Edith Edie Kline, REGISTERED NURSE
• Alyssa Megan Klos, DPT
• Joseph Knipe, MD
• Mark Maloy Krause, DPM
• Jillian Kroneberger, RN

• Emergency Registered Nurse in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.