Active NPI
Nancy Jeanne Klos
- Specialist
- Hillsboro, MO
National Provider Identifier
1861712705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036916
- Practice address
- 10820 Business 21
Suite 207
Hillsboro, MO 63050-5222 - Phone
- (636) 797-3311
- Fax
- (636) 797-3984
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036916 | MO | Primary |
Addresses
Primary practice location
10820 Business 21
Suite 207
Hillsboro, MO 63050-5222
Mailing address
PO Box 2429
Hillsboro, MO 63050-8429
Phone (636) 797-3311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16945832 | Other | MO | SALES TAX ID |
| 036916 | Other | MO | DIVISION OF PROFESSIONAL REGISTRATION COSMETOLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036916 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1861712705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630508429",
"telephone_number": "636-797-3311",
"fax_number": "636-797-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 BUSINESS 21",
"address_2": "SUITE 207",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630505222",
"telephone_number": "636-797-3311",
"fax_number": "636-797-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOS",
"first_name": "NANCY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "036916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SALES TAX ID",
"identifier": "16945832",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF PROFESSIONAL REGISTRATION COSMETOLOGIST",
"identifier": "036916",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.