Active NPI
Jenifer R Kruse, MS, RDN, CDCES, CPT
- Registered Dietitian
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1635 Aurora CT
Aurora, CO 80045-2541 - Phone
- (720) 848-0000
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | CO | Primary |
Addresses
Primary practice location
1635 Aurora CT
Aurora, CO 80045-2541
Mailing address
322 Beard Creek Rd
Ste 1300
Edwards, CO 81632-6433
Phone (765) 838-8044
Other practice location 1
322 Beard Creek Road
Suite 1300
Edwards, CO 81632
Phone (970) 926-6340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients |
Locations
1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060
1635 Aurora Ct
Aurora, CO 80045
Phone (720) 848-1060
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 479-7251
1107 S Lemay Ave
Ste 410
Fort Collins, CO 80524
Phone (303) 315-6100
9397 Crown Crest Blvd
Ste 310
Parker, CO 80138
Phone (303) 699-3133
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
dba CU Medicine Internal Medicine - Cherry Creek
- Internal Medicine Physician
- Denver, CO
- NPI 1194183681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1124212568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 BEARD CREEK RD",
"address_2": "STE 1300",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326433",
"telephone_number": "765-838-8044",
"fax_number": "765-838-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 AURORA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800452541",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "322 Beard Creek Road",
"address_2": "Suite 1300",
"address_purpose": "LOCATION",
"city": "Edwards",
"state": "CO",
"postal_code": "81632",
"country_code": "US",
"telephone_number": "970-926-6340",
"fax_number": "979-926-6348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUSE",
"first_name": "JENIFER",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MS, RDN, CDCES, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.