Active NPI
Kimberly Ann Klein, BCFNP
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1861402125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 459646
- Practice address
- 3809 W 15TH St
700-B
Plano, TX 75075-7790 - Phone
- (972) 596-4005
- Fax
- (972) 985-1253
- NPI assigned
- Aug 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 459646 | TX | Primary |
Addresses
Primary practice location
3809 W 15TH St
700-B
Plano, TX 75075-7790
Mailing address
3809 W 15TH St
700-B
Plano, TX 75075-7790
Phone (972) 596-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 459646 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861402125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 W 15TH ST",
"address_2": "700-B",
"city": "PLANO",
"state": "TX",
"postal_code": "750757790",
"telephone_number": "972-596-4005",
"fax_number": "972-985-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 W 15TH ST",
"address_2": "700-B",
"city": "PLANO",
"state": "TX",
"postal_code": "750757790",
"telephone_number": "972-596-4005",
"fax_number": "972-985-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "BCFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "459646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.