Individual provider Active NPI

Lori Klinger, PH.D.

  • Clinical Psychologist
  • Kingsport, TN
National Provider Identifier
1891934675
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3555 Issued in TN
Practice address
2001 E Stonebrook PL
Kingsport, TN 37660-4000
Phone
(423) 224-1000
Fax
(423) 467-3644
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3718 NC
Clinical Psychologist 103TC0700X 3555 TN Primary

Addresses

Primary practice location

2001 E Stonebrook PL
Kingsport, TN 37660-4000

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (426) 467-3600

Other practice location 1

154 Medical Park Loop
Sylva, NC 28779-5271
Phone (828) 631-3973

Other practice location 2

208 East Unaka Avenue
Johnson City, TN 37601
Phone (423) 926-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029001118 TN Practitioner - Clinical Psychologist 5890050488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3718NCMDMental Health Counselor
3555TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Sep 9, 2019 Accepting new patients
Frontier Health CurrentSince Sep 9, 2019 Accepting new patients

Locations

109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

2001 E Stonebrook Pl
Kingsport, TN 37660
Phone (423) 224-1000

318 Donnelly St
Mountain City, TN 37683
Phone (423) 727-2100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1891934675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "426-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E STONEBROOK PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604000",
            "telephone_number": "423-224-1000",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Medical Park Loop",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287795271",
            "country_code": "US",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 EAST UNAKA AVENUE",
            "address_purpose": "LOCATION",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "country_code": "US",
            "telephone_number": "423-926-0940",
            "fax_number": "423-467-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3718",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.