Active NPI
Michele Krenzer, M.S.
- Speech-Language Pathologist
- Indialantic, FL
National Provider Identifier
1154563781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7738
- Practice address
- 385 Normandy Dr
Indialantic, FL 32903-4015 - Phone
- (321) 501-2858
- NPI assigned
- Mar 27, 2009
- Last updated
- Mar 27, 2009
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7738 | FL | Primary |
Addresses
Primary practice location
385 Normandy Dr
Indialantic, FL 32903-4015
Mailing address
385 Normandy Drive
Indialantic, FL 32903
Phone (321) 501-2858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7738 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1154563781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 NORMANDY DRIVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "32903",
"telephone_number": "321-501-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 NORMANDY DR",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034015",
"telephone_number": "321-501-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRENZER",
"first_name": "MICHELE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.