Active NPI
Sara D Krumlauf, CNS
- Adult Health Clinical Nurse Specialist
- Dayton, OH
National Provider Identifier
1235403395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- COA 13070-NS
- Practice address
- 1 Wyoming St
Ste. 4490
Dayton, OH 45409-2722 - Phone
- (937) 208-5287
- Fax
- (937) 208-5292
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | COA 13070-NS | OH | Primary |
Addresses
Primary practice location
1 Wyoming St
Ste. 4490
Dayton, OH 45409-2722
Mailing address
1 Wyoming St
Ste. 4490
Dayton, OH 45409-2722
Phone (937) 208-5287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081711 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 13070-NS | OH | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Heart Associates, Inc | Past | Accepting new patients | |
| Premier Health Specialists Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miami Valley Palliative Care Program
- Clinical Nurse Specialist
- Dayton, OH
- NPI 1386980522
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1235403395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "STE. 4490",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-5287",
"fax_number": "937-208-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"address_2": "STE. 4490",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-5287",
"fax_number": "937-208-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMLAUF",
"first_name": "SARA",
"middle_name": "D",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "COA 13070-NS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081711",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.