David Paul Krukemyer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2527-39 Issued in WI

Practice address

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Phone

(262) 243-2140

NPI assigned

Jan 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1033655477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W55N223 WOODMERE CT APT 1",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122831",
            "telephone_number": "419-308-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 N LAKE SHORE DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972418",
            "telephone_number": "262-243-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUKEMYER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-344",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2527-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Kraemer, APNP
• Kathleen Maria Kramer, PH.D.
• Carla B Kramoris, PT
• Erica Krause
• Marina L. Kropp, M.D.
• Julia Krzyzak
• Jackie Kucharski, OT
• Lindsay E Kuehl, OTR
• Karri Kuehn, PHARMD
• Erik Kust, PT

• Athletic Trainer in Mequon, WI
• Providers in Mequon, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.