Taylor Kruse

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156

Phone

(209) 900-3722

NPI assigned

Nov 6, 2024

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

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1104649334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 DANIELLE PL",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689423",
            "telephone_number": "209-604-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N CARPENTER RD STE C19",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511156",
            "telephone_number": "209-900-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishnamoorthi MD Inc a Professional Medical Corporation
• Kruthika Krishnamurthy, MD
• Cameron Kroll
• James A Kruer Jr., MD
• Sergey Krupochkin, MD
• Eric Chau-Yong Ku, MD
• Megan Rene Kubicek, MFTI
• Ilya Kucher, PHARMD
• Janis Lugene Kuhn
• Arun Singh Kulthia, M.D.

• Behavior Technician in Modesto, CA
• Providers in Modesto, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.