Individual provider Active NPI

Jody Krukowski, N.M.D

  • Naturopath
  • Kansas City, MO
National Provider Identifier
1164629036
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
07-994 Issued in AZ
Practice address
1810 Summit St # 101
Kansas City, MO 64108-2109
Phone
(816) 471-7227
Fax
(816) 471-7225
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 07-994 AZ Primary

Addresses

Primary practice location

1810 Summit St # 101
Kansas City, MO 64108-2109

Mailing address

10416 Conser St Apt 1D1
Overland Park, KS 66212-2632
Phone (602) 320-2990

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

State licenses

LicenseStateTypeSpecialty
07-994AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1164629036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 CONSER ST APT 1D1",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122632",
            "telephone_number": "602-320-2990",
            "fax_number": "816-471-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SUMMIT ST # 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082109",
            "telephone_number": "816-471-7227",
            "fax_number": "816-471-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUKOWSKI",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "N.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.