Individual provider Active NPI

Amy Krutsch, FNP

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1033652201
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009119 Issued in NC
Practice address
1560 Clingman St
Goldsboro, NC 27534-2162
Phone
(919) 731-1000
Fax
(919) 705-6568
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009119 NC Primary
State or Local Public Health Clinic/Center 261QP0905X 5009119 NC

Addresses

Primary practice location

1560 Clingman St
Goldsboro, NC 27534-2162

Mailing address

201 W Raintree LN
Goldsboro, NC 27534-7369
Phone (919) 705-1808

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1033652201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W RAINTREE LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347369",
            "telephone_number": "919-705-1808",
            "fax_number": "919-705-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CLINGMAN ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342162",
            "telephone_number": "919-731-1000",
            "fax_number": "919-705-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTSCH",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009119",
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NC",
            "license": "5009119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.