Active NPI 1043842909 Individual Practitioner Male Practitioner

Jeremy Klein

Nurse Practitioner - Pediatrics • Laughlin Afb, TX

Professional Overview & Biography Verified Profile Summary

Jeremy Klein is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Laughlin Afb, TX. Practice services are available at 590 MITCHELL BLVD BLDG 37547TH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

590 Mitchell Blvd Bldg 37547th

Laughlin Afb, TX 788435242

Telephone 8302986386

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Laughlin Afb, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Laughlin Afb, TX (2253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-26

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP61176673

Definition to come...

Registered Nurse - General Practice

NUCC Taxonomy Code: 163WG0000X

State License WA RN60866146

Definition to come...

Secondary Practice Locations

3551 Roger Brooke Dr

Fort Sam Houston, TX 782344504

Phone: 2105399582

559 Mds, 221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Phone: 2106521951

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location June 26, 2025

Registered at 590 MITCHELL BLVD BLDG 37547TH, LAUGHLIN AFB, TX 788435242 (Tel: 8302986386)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2022

Registered Nurse (License #RN60866146 in WA)

📍

Updated Practice Location August 31, 2021

Registered at 559 MDS, 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106521951)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Nurse Practitioner (License #AP61176673 in WA)

📍

Updated Business Mailing Address May 06, 2021

Registered at 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106521951)

✅

NPI Profile Active February 09, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2020

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981957263 (Tel: 8736206543)

📍

Updated Business Mailing Address February 09, 2020

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981957263

👤

Provider Name / Credentials Updated February 09, 2020

Recorded as JEREMY KLEIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2020

Registered Nurse (License #R039915 in SD)

🟢

Initial NPI Registration & Enumeration February 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1043842909

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 09, 2020

Last Update: June 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Phone: 2106521951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.