Active NPI
Lora Kruse, RN
- Registered Nurse
- Sheridan, WY
National Provider Identifier
1013500768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26735
- Practice address
- 856 Coffeen Ave Ste 105
Sheridan, WY 82801-5318 - Phone
- (406) 551-3169
- NPI assigned
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26735 | MT | Primary |
Addresses
Primary practice location
856 Coffeen Ave Ste 105
Sheridan, WY 82801-5318
Mailing address
PO Box 1062
Ranchester, WY 82839-1062
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | lighttouchwyo@gmail.com | ||
| SOAP URL | lighttoughneuro.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26735 | MT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617408000000",
"number": "1013500768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1062",
"city": "RANCHESTER",
"state": "WY",
"postal_code": "828391062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 COFFEEN AVE STE 105",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015318",
"telephone_number": "406-551-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "LORA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2021-04-03",
"certification_date": "2021-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "26735",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "lighttouchwyo@gmail.com",
"affiliation": "N",
"address_1": "117 Trails Cir W",
"city": "Ranchester",
"state": "WY",
"country_code": "US",
"postal_code": "828395048",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "lighttoughneuro.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "856 Coffeen Ave Ste 105",
"city": "Sheridan",
"state": "WY",
"country_code": "US",
"postal_code": "828015318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.