Mary Kresser

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

258284 Issued in NY

Practice address

214 Lafayette Rd
Syracuse, NY 13205-2921

Phone

(315) 729-8730

NPI assigned

Dec 16, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1205474772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LAFAYETTE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052921",
            "telephone_number": "315-729-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAFAYETTE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052921",
            "telephone_number": "315-729-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSER",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "258284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "315-729-8730",
            "affiliation": "N",
            "endpointDescription": "cell phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 Lafayette Rd",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132052921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Beth Kreidler, OTR
• Jason Kreinces
• Gregory Joseph Kreitzer, MD
• Medina Krekic, RN
• Barbara E Krenzer, MD
• Brandon Krieger, D.O
• Phuong H Kripalani, LMHC
• Kris-Anne Medical Practice, PC
• Albert Krisch, M.D.
• Jacquelyn Marion Krisch

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.