Beverly Alane Kloepfer, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-1212A Issued in ID

Practice address

4087 Fairway Dr
Lewiston, ID 83501-9687

Phone

(208) 746-4115

NPI assigned

Sep 3, 2012

Last updated

Sep 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: beverly.kloepfer.1@12569.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gritman Medical Center, Inc.

  dba Moscow Family Medicine

  • Family Medicine Physician
  • Moscow, ID
  • NPI 1538634522
  NPD (past)
• Gritman Medical Center, Inc.

  dba Warrior Health

  • Family Medicine Physician
  • Lewiston, ID
  • NPI 1588413694
  NPD (past)
• St. Joseph Hospital LLC

  dba St. Joseph Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ID
  • NPI 1225090954
  NPD (past)

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1861741159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 FAIRWAY DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019687",
            "telephone_number": "208-746-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 FAIRWAY DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019687",
            "telephone_number": "208-746-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOEPFER",
        "first_name": "BEVERLY",
        "middle_name": "ALANE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1212A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1212A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Kite, OTR/L
• Adam Klappenbach, MS, EDS
• Wendy Klemm
• Klemp Optometry
• Daniel Robert Klemp, O.D.
• Clifford P Knelsen, PT
• Sarah Manning Knewbow, FNP-C
• Kyle Joseph Knigge, DPT
• Stephanie Knittel
• Gerald L Knouf, MD

• Nurse Practitioner in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.