Isabel Jennie Kliss, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305776 Issued in NY

Practice address

11 Wheeler St
Auburn, NY 13021-2222

Phone

(315) 412-3484

NPI assigned

Aug 12, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768
  NPD (past)
• Chemung Medical Services PC

  dba Arnot Medical Services

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1356378889
  NPD (past)
• Fort Edward Rescue Squad Inc

  • Ambulance
  • Fort Edward, NY
  • NPI 1427031319
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1821377573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WHEELER ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212222",
            "telephone_number": "315-412-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHEELER ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212222",
            "telephone_number": "315-412-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISS",
        "first_name": "ISABEL",
        "middle_name": "JENNIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03375995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Elmer Kilmer, D.C.
• Jessica Lynn Kimball, PHARM. D.
• Martha May King, LCSW-R
• Maureen Jo Kinney
• John Erasmus Klibanoff, MD
• Henry M Klotz, MD
• Jennifer L. Knohl, LCSW
• Paul Arthur Koenig, M.D.
• Phillip Kolodzie, LMT
• Olga Kondrya, DDS

• Adult Health Nurse Practitioner in Auburn, NY
• Providers in Auburn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.