Active NPI
Debra Klezmer, LMT,RN,C,CRRN
- Pain Management Registered Nurse
- Randolph, MA
National Provider Identifier
1790840932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Management Registered Nurse
- License
- 145673
- Practice address
- 42 Diauto Dr
Randolph, MA 02368-6202 - Phone
- (781) 986-6443
- Fax
- (781) 986-4837
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | 145673 | MA | Primary |
| Massage Therapist | 225700000X | 079 | MA |
Addresses
Primary practice location
42 Diauto Dr
Randolph, MA 02368-6202
Mailing address
42 Diauto Dr
Randolph, MA 02368-4510
Phone (781) 986-6443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q04319 | Other | MA | BCBS OF MA |
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 |
|---|---|---|---|
| 145673 | MA | MD | Pain Management Registered Nurse |
| 079 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1790840932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 DIAUTO DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684510",
"telephone_number": "781-986-6443",
"fax_number": "781-986-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DIAUTO DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023686202",
"telephone_number": "781-986-6443",
"fax_number": "781-986-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEZMER",
"first_name": "DEBRA",
"credential": "LMT,RN,C,CRRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "MA",
"license": "145673",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "079",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "Q04319",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.