Cody Daniel Klette, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN301315 Issued in GA

Practice address

962 Joe Frank Harris Pkwy SE Ste 105
Cartersville, GA 30120-2141

Phone

(470) 315-4201

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Miniyars Pediatrics, P.C.

  dba RM Pediatrics

  • Pediatrics Physician
  • Rome, GA
  • NPI 1760651806
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1962160259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 CRAIGIE AVE",
            "address_2": "APT D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY SE STE 105",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202141",
            "telephone_number": "470-315-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Three Rivers Dr NE",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301614999",
            "country_code": "US",
            "telephone_number": "706-232-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Plantation Ave",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301252370",
            "country_code": "US",
            "telephone_number": "678-901-0717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14160 U.S. 27",
            "address_purpose": "LOCATION",
            "city": "Trion",
            "state": "GA",
            "postal_code": "30753",
            "country_code": "US",
            "telephone_number": "706-696-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLETTE",
        "first_name": "CODY",
        "middle_name": "DANIEL",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN301315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joryell Kinchen-Miller
• Janice King-Heard
• Glen R King, M.D.
• Laura Poulsen King, CRNA
• Catherine Claire Kiser, DC
• Maryana Kleyn, LCSW
• Brandi D Knight, FNP
• Christopher Keith Knitig, DO
• Kavita Kotte, M.D.
• Raymond J. Kotwicki, MD, MPH

• Pediatric Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.