Paige Kruse, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

408 1St St N
Alabaster, AL 35007-9270

Phone

(262) 745-7455

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caroline a Reich MD PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1982882270
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1114671245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350079270",
            "telephone_number": "205-664-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350079270",
            "telephone_number": "262-745-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenway",
            "affiliation": "N",
            "address_1": "408 1st St N",
            "city": "Alabaster",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350079270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Forehand Kennedy
• Travis E Kidd Jr., MD
• William Chad Knight, CRNA
• Koslin & Kahn, P.C.
• Richard Blake Krebs, LPC
• Allison Kay Kurts, PHARM.D.
• Donald Wing Kwong, M.D.
• Jeffrey Allen Kyle, PHARM.D.
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Physician Assistant in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.