Active NPI
Mindy Kleine, RN
- Registered Nurse First Assistant
- Centralia, WA
National Provider Identifier
1770754566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN00155614
- Practice address
- 1000 S Scheuber Rd
Centralia, WA 98531-8877 - Phone
- (360) 330-8950
- Fax
- (360) 330-8995
- NPI assigned
- Mar 19, 2008
- Last updated
- Mar 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN00155614 | WA | Primary |
Addresses
Primary practice location
1000 S Scheuber Rd
Centralia, WA 98531-8877
Mailing address
1000 S Scheuber Rd
Centralia, WA 98531-8877
Phone (360) 330-8950
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00155614 | WA | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kleine Enterprises | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1770754566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S SCHEUBER RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985318877",
"telephone_number": "360-330-8950",
"fax_number": "360-330-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S SCHEUBER RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985318877",
"telephone_number": "360-330-8950",
"fax_number": "360-330-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINE",
"first_name": "MINDY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "WA",
"license": "RN00155614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.