Individual provider Active NPI

Alexandra P Kruse, MN, ARNP

  • Adult Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1164530994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30006761 Issued in WA
Practice address
VA Puget Sound Health Care System
1660 South Columbian Way
Seattle, WA 98108
Phone
(206) 768-5349
Fax
(206) 764-2257
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP30006761 WA Primary

Addresses

Primary practice location

VA Puget Sound Health Care System
1660 South Columbian Way
Seattle, WA 98108

Mailing address

3801 92ND Ave NE
Bellevue, WA 98004-1327
Phone (206) 768-5349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130621000209 WA Order and Referring Only - Nurse Practitioner 4789823881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP30006761WAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164530994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 92ND AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041327",
            "telephone_number": "206-768-5349",
            "fax_number": "206-764-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PUGET SOUND HEALTH CARE SYSTEM",
            "address_2": "1660 SOUTH COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-768-5349",
            "fax_number": "206-764-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "ALEXANDRA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30006761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.