Individual provider Active NPI

Kathleen Ann Klimaitis, L.AC., M.S.O.M

  • Acupuncturist
  • Knoxville, TN
National Provider Identifier
1881878338
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU 108 Issued in TN
Practice address
6718 Kingston Pike
Suite C
Knoxville, TN 37919-4869
Phone
(865) 202-7420
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU 108 TN Primary
Acupuncturist 171100000X 198.000673 IL

Addresses

Primary practice location

6718 Kingston Pike
Suite C
Knoxville, TN 37919-4869

Mailing address

6718 Kingston Pike
Suite C
Knoxville, TN 37919-4869
Phone (865) 202-7420

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

LicenseStateTypeSpecialty
198.000673ILMDAcupuncturist
ACU 108TNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1881878338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 KINGSTON PIKE",
            "address_2": "SUITE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194869",
            "telephone_number": "865-202-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 KINGSTON PIKE",
            "address_2": "SUITE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194869",
            "telephone_number": "865-202-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMAITIS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.AC., M.S.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "ACU 108",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.