Active NPI
Tracey Kruger, M.S., CCC-A
- Audiologist
- Santa Clarita, CA
National Provider Identifier
1033449707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2623
- Practice address
- 28542 Hidden Hills Dr
Santa Clarita, CA 91390-4293 - Phone
- (818) 804-5258
- NPI assigned
- Jan 1, 2010
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2623 | CA | Primary |
Addresses
Primary practice location
28542 Hidden Hills Dr
Santa Clarita, CA 91390-4293
Mailing address
28542 Hidden Hills Dr
Santa Clarita, CA 91390-4293
Phone (818) 804-5258
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2623 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262304000000",
"number": "1033449707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28542 HIDDEN HILLS DR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913904293",
"telephone_number": "818-804-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28542 HIDDEN HILLS DR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913904293",
"telephone_number": "818-804-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "TRACEY",
"name_prefix": "Ms.",
"credential": "M.S., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-01",
"last_updated": "2010-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.