IndividualActive
Jeremy Klein
NPI 1043842909 · Pediatric Nurse Practitioner · Laughlin Afb, TX
Provider details
- NPI number
- 1043842909
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN60866146 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
590 Mitchell Blvd Bldg 37547th
Laughlin Afb, TX 78843-5242
Phone: (830) 298-6386
Approximate (ZIP-level) locationGet directions
Mailing address
221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Additional practice locations (2)
- 3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (210) 539-9582
- 559 Mds221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800Phone: (210) 652-1951
Registry dates
- Enumerated
- 2020-02-09
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.