Individual provider Active NPI

Carole J Klepper, RN, NP - C

  • Adult Health Nurse Practitioner
  • Highland Park, IL
National Provider Identifier
1861601700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-003047(41-129116 Issued in IL
Practice address
1850 Beverly PL
Highland Park, IL 60035-2372
Phone
(847) 831-4376
Fax
(847) 321-7090
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-003047(41-129116 IL Primary

Addresses

Primary practice location

1850 Beverly PL
Highland Park, IL 60035-2372

Mailing address

1850 Beverly PL
Highland Park, IL 60035-2372
Phone (847) 831-4376

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209-003047(41-129116ILMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861601700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BEVERLY PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352372",
            "telephone_number": "847-831-4376",
            "fax_number": "847-321-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BEVERLY PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352372",
            "telephone_number": "847-831-4376",
            "fax_number": "847-321-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPER",
        "first_name": "CAROLE",
        "middle_name": "J",
        "credential": "RN, NP - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-003047(41-129116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.