Kathleen L Kretchmer, R.N., C.D.E

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041304879 Issued in IL

Practice address

360 Station Dr
Crystal Lake, IL 60014-7978

Phone

(815) 338-6600

Fax

(815) 356-2388

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1053753582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "R.N., C.D.E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041304879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "962341",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Krase, LCSW
• Natalia Katherine Krasuska
• Elise Kratkoczki, DPT
• Jessica Kreis, LCPC
• Yolanta Kreklow
• Katie Marie Kroening, LCSW
• Tracy Eileen Kroening, PTA
• Elizabeth M Krotser, LCSW
• Marko F Krpan, DO
• Laura Kruppe

• Diabetes Educator Registered Nurse in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.