Kimberly Kay Kleine, MSN, ARPN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

25110 Issued in TN

Practice address

100 Kellogg Drive
Mountain City, TN 37683-4077

Phone

(423) 460-3232

Fax

(423) 460-3234

NPI assigned

Oct 31, 2018

Last updated

Sep 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.kleine@nthhp-tn.direct.office.nextgen.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.

• Northeast Tennessee Health and Home Care PLLC

  • Primary Care Clinic/Center
  • Mountain City, TN
  • NPI 1548886385
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1962979617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KELLOGG DRIVE",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834077",
            "telephone_number": "423-460-3232",
            "fax_number": "423-460-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KELLOGG DRIVE",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834077",
            "telephone_number": "423-460-3232",
            "fax_number": "423-460-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINE",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "MSN, ARPN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "25110",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST TENNESSEE HEALTH AND HOME CARE PLLC NPI",
            "identifier": "1548886385",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962979617",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Continuum, LLC (Mountain Youth Academy)
• Keystone Continuum, LLC (Mountain Youth Academy)
• Keystone Continuum, LLC (Mountain Youth Academy)
• Michael K Kimbro, MD
• Maurice Douglas Kistner, D.PH
• Carter Knecht, DC
• Sandra Kay Lawson, DPH.
• Cristy Gillespie Lee, MD
• Kelly Paige Lester, BA
• LP Mountain City LLC (Mountain City Care & Rehabilitation Center)

• Primary Care Nurse Practitioner in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.