Jacquelyn Kremer

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

004679 Issued in MO

Practice address

6022 S Lindbergh Blvd
Saint Louis, MO 63123-7019

Phone

(314) 845-7751

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• P.S. Kids, LLC

  • Pediatric Occupational Therapist
  • St. Louis, MO
  • NPI 1528188844

  Pediatrics

  NPD (past)
• Special Services Cooperative of Jefferson County

  • Local Education Agency (LEA)
  • Hillsboro, MO
  • NPI 1356405617
  NPD (past)
• SSM Select Rehab St. Louis, LLC

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1215094115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237019",
            "telephone_number": "314-845-7751",
            "fax_number": "314-845-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237019",
            "telephone_number": "314-845-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "004679",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "004679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Kreitman
• Vladimir Krejci, MD
• Jordyn Lynn Frances Kreke, MD
• Peyton James Kreke
• Christine Mary Daenzer Krekow, M.S., CCC-SLP
• Michelle Ellen Kremer, OTR
• Nathan Scott Kremmel, ACNP
• Marcy Moreland Krems, M. ED., LPC
• Margaret Claire Krenn, NNP
• Wilfred Joseph Krenn Jr., LPC

• Pediatric Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.