JEREMY KREKULA (NPI# 1598362014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598362014 |
| Entity Type | Individual |
| Full Name | JEREMY KREKULA |
| Other Name | JEREMY ERWIN DANIE KREKULA |
| Practice Address |
102 Main St N Ste 100 Stewartville MN 55976-2608 |
| Practice Telephone | 5072187114 |
| Mailing Telephone | 5072187114 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304745 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA BOARD OF BEHAVIOAL HEALTH | 304745 | 01 |
| Street Address |
102 MAIN ST N STE 100 |
| City | STEWARTVILLE |
| State | MN |
| Zip Code | 55976-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987111 | Vanessa Mae Peterson | Foster Care Agency | 2012 Osprey Place Nw, Stewartville, MN 55976 | 2017-12-06 |
| 1912292707 | Zachary John Lechner | Dentist | 100 Second Street Se, 1, Stewartville, MN 55976 | 2011-06-09 |
| 1912148206 | Mcbe Company | Pharmacy | 220 Centertown Plaza, Stewartville, MN 55976 | 2009-03-16 |
| 1780763342 | Ind School Dist 534 | Local Education Agency (LEA) | 500 4th St Sw, Stewartville, MN 55976 | 2006-11-03 |
| 1760422927 | Judith A Devorak | Nurse Practitioner | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-07 |
| 1700829439 | Craig Thauwald | Family Medicine | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-13 |
| 1790726727 | Kevin William Huelskamp | Chiropractor | 120 South Main Street, Stewartville, MN 55976 | 2006-06-09 |
| 1982609525 | Stephanie Christine Lillis | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2005-06-20 |
| 1750543880 | Robert James Jensen | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2008-06-30 |
| 1871985028 | Leroy Johnson Jr. | Registered Nurse | 319 23rd St Nw, Stewartville, MN 55976-1026 | 2015-02-25 |
| Find all providers in zip 55976 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | STEWARTVILLE |
| Zip Code | 55976 |
Please comment or provide details below to improve the information on JEREMY KREKULA.
| 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.