Theresa Krell

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

44405 Woodward Ave
Pontiac, MI 48341-5023

Phone

(248) 858-6110

Fax

(248) 858-6015

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1093443459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PINE THISTLE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022016",
            "telephone_number": "586-770-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-6110",
            "fax_number": "248-858-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRELL",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-11-24",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Kovach, LLPC
• Ngumimi Peace Kpughur-Tule, M.D
• Heidi Kraft
• Jeremy L. Kramer, D.O.
• Judith Marie Krause
• Megan Krings
• Amar Krishna
• Chandra Kumar Krishna, M.D
• Geetha Krishnamoorthy, MD
• Sandeep Hemachandran Krishnan, M.D.

• Community Health Worker in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.