Rebecca Ann Krouskop

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

311 W 9TH St
Traverse City, MI 49684-3121

Phone

(231) 645-4734

NPI assigned

Jan 26, 2017

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

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1124565387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 9TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843121",
            "telephone_number": "231-645-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 9TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843121",
            "telephone_number": "231-645-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSKOP",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Kroll
• Joshua Kroll, DO
• Laura Elizabeth Kroll
• Margaret Kristen Kroll, AU.D.
• Paul L Kropf, O.D.
• Mark David Krull, DDS
• Mary Margaret Krzystowczyk, NP
• Pamela Anne Kucharczyk, PHARMD
• Kimberly Kucharski, LLMSW
• Amy P Kudary, P.A.

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.