Individual provider Active NPI

Jackie Klein Lefferts, M.D.

  • Pulmonary Disease Physician
  • Key West, FL
National Provider Identifier
1902834591
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME52886 Issued in FL
Practice address
3412 Duck Ave
Key West, FL 33040-4427
Phone
(305) 294-1024
Fax
(305) 296-2444
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME52886 FL Primary

Addresses

Primary practice location

3412 Duck Ave
Key West, FL 33040-4427

Mailing address

3412 Duck Ave
Key West, FL 33040-4427
Phone (305) 294-1024

Other identifiers 1

IdentifierTypeStateIssuer
053624500MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME52886FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Hma Physician Management, LLC Pulmonary Disease Past Accepting new patients
Stuart J Bernstein M D P a Pulmonary Disease Past Accepting new patients

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1902834591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 DUCK AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404427",
            "telephone_number": "305-294-1024",
            "fax_number": "305-296-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 DUCK AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404427",
            "telephone_number": "305-294-1024",
            "fax_number": "305-296-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFERTS",
        "first_name": "JACKIE",
        "middle_name": "KLEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME52886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053624500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.