Active NPI
Krista Jo Sgroi, NP
- Nurse Practitioner
- Jackson, WY
National Provider Identifier
1083823165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20179.0285
- Practice address
- 555 East Broadway
Jackson, WY 83001 - Phone
- (307) 733-3900
- Fax
- (307) 732-0925
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20179.0285 | WY | Primary |
Addresses
Primary practice location
555 East Broadway
Jackson, WY 83001
Mailing address
PO Box 10490
Jackson, WY 83002-0490
Phone (307) 733-3900
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
- Credentials
- Nurse Practitioner
Interoperability endpoints
- krista.novak.p1@direct.tetonortho.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1083823165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10490",
"city": "JACKSON",
"state": "WY",
"postal_code": "830020490",
"telephone_number": "307-733-3900",
"fax_number": "307-732-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 EAST BROADWAY",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-733-3900",
"fax_number": "307-732-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SGROI",
"first_name": "KRISTA JO",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "20179.0285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.