Active NPI
Gina Marie Kroeker
- Hearing Instrument Specialist
- Beech Grove, IN
National Provider Identifier
1073734869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001217A
- Practice address
- 1615 Main St
Beech Grove, IN 46107-1550 - Phone
- (317) 789-2100
- Fax
- (317) 789-2055
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001217A | IN | Primary |
Addresses
Primary practice location
1615 Main St
Beech Grove, IN 46107-1550
Mailing address
5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073734869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463706",
"telephone_number": "888-333-9152",
"fax_number": "763-268-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAIN ST",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071550",
"telephone_number": "317-789-2100",
"fax_number": "317-789-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEKER",
"first_name": "GINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001217A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beech Grove, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.