MRS. CRYSTAL KRUEGER (NPI# 1104160365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104160365 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL KRUEGER |
| Credential | FNP |
| Practice Address |
12330 Metcalf Ave Suite 400 Overland Park KS 66213-1324 |
| Practice Telephone | 9133177990 |
| Practice Fax Number | 9133177018 |
| Mailing Telephone | 9133177990 |
| Mailing Fax Number | 9133177018 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 75852 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347632 | Crystal Krueger | Marriage & Family Therapist | 14535 W Indian School Rd Ste 120, Goodyear, AZ 85395-9282 | 2015-06-03 |
| Street Address |
12330 METCALF AVE SUITE 400 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012523 | Stephen M Gordon | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2005-06-13 |
| 1336592930 | Ashley Irene Heimsoth | Nurse Practitioner | 12330 Metcalf Ave, Ste. 400, Overland Park, KS 66213-1324 | 2016-07-19 |
| 1952656977 | Jennifer Rose Kenz Litwin | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2012-07-16 |
| 1497061030 | Family Health Medical Group of Overland Park, LLC | Family Medicine | 12330 Metcalf Ave, Suite 500, Overland Park, KS 66213-1324 | 2010-08-20 |
| 1699903690 | Deepthi Vodnala | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213 | 2009-06-29 |
| 1093922098 | Debbra D. Bazata | Dietitian, Registered | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2007-05-17 |
| 1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
| 1700930476 | Tamera L Nation | Nurse Practitioner | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2007-01-22 |
| 1871674598 | Cardiovascular Conltants, PC | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1324 | 2006-10-18 |
| 1295820983 | Janella F Dewitt | Physician Assistant | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784208 | Mh Health of Kansas, Pa | Nurse Practitioner | 8500 Antioch Rd, Overland Park, KS 66212-3503 | 2019-08-07 |
| 1235796913 | Joshua Anno | Nurse Practitioner | 10550 Quivira Rd Ste 335, Overland Park, KS 66215-2378 | 2019-05-28 |
| 1144701806 | Rachael Rosenbaum Hartwich | Nurse Practitioner | 4831 W 136th St Unit A, Overland Park, KS 66224-5924 | 2018-08-21 |
| 1679066708 | Amanda Nicole Wilkinson | Nurse Practitioner | 6010 W 124th St, Overland Park, KS 66209-2750 | 2018-06-13 |
| 1073018982 | Angela Renee Lowery | Nurse Practitioner | 11608 W 117th Ter, Overland Park, KS 66210-3455 | 2018-03-24 |
| 1902315120 | Aubrey Katherine Marie Fraley | Nurse Practitioner | 14253 Metcalf Ave, Overland Park, KS 66223-3367 | 2017-09-20 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1396125159 | Sara Peterson | Nurse Practitioner | 10600 Quivira Rd Fl 3, Overland Park, KS 66215-2309 | 2015-06-05 |
| 1912331893 | Kelly N Brazzle | Nurse Practitioner | 10600 Quivira Rd Ste 110, Overland Park, KS 66215 | 2013-08-27 |
| 1174897466 | Leslee Ellen Carneal | Nurse Practitioner | 12140 Nall Ave Ste 200, Overland Park, KS 66209-2507 | 2012-03-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on MRS. CRYSTAL KRUEGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.