Individual provider Active NPI

Alex Kretowicz

  • Student in an Organized Health Care Education/Training Program
  • Lone Tree, CO
National Provider Identifier
1023390150
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532
Phone
(720) 875-2889
NPI assigned
Sep 14, 2011
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532

Mailing address

10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532

Other practice location 1

1365 N Johnson Ave
Suite 111
El Cajon, CA 92020-1676
Phone (619) 442-0277 ext. 127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1023390150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245532",
            "telephone_number": "720-875-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 N Johnson Ave",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201676",
            "country_code": "US",
            "telephone_number": "619-442-0277 x127",
            "fax_number": "619-442-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETOWICZ",
        "first_name": "ALEX",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.