Active NPI
Amanda Krekling
- Registered Nurse
- Franklin, WI
National Provider Identifier
1073155073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 189534
- Practice address
- 6580 S 46TH St
Franklin, WI 53132-8153 - Phone
- (414) 421-0276
- NPI assigned
- Oct 10, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 189534 | WI | Primary |
Addresses
Primary practice location
6580 S 46TH St
Franklin, WI 53132-8153
Mailing address
2704 James Blvd
Racine, WI 53403-3248
Phone (262) 497-2098
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189534 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1073155073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 JAMES BLVD",
"city": "RACINE",
"state": "WI",
"postal_code": "534033248",
"telephone_number": "262-497-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6580 S 46TH ST",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328153",
"telephone_number": "414-421-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREKLING",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "189534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.