Kimberly Ann Krueger

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

OAN29FSQCC Issued in ID

Practice address

407 Main St
Lewiston, ID 83501-6800

Phone

(208) 790-0303

NPI assigned

Sep 2, 2024

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hair Heartbeat, LLC

  • Prosthetic/Orthotic Supplier
  • Lewiston, ID
  • NPI 1871314260
  NPD Authorized official

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1194550053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MAIN ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016800",
            "telephone_number": "208-790-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MAIN ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016800",
            "telephone_number": "208-790-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "OAN29FSQCC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elzbieta E Kraszewska-Ostromecka, MD
• Amanda Kreienheder I
• Theodore K Krisher, MD
• Kristy Kuehfuss, PHD, PLLC
• Stephen K Kronholm, MD
• Kristy Anne Kuehfuss, PH.D.
• Ajith J Kumar, MD
• John Stephen Kundrat, MD PA
• Suriya Subashini Kunnukutty Mohan
• Gerald Thomas Kurdy, LMSW

• Prosthetic/Orthotic Supplier in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.