Active NPI
Kristy A Kruger, OT
- Occupational Therapist
- Vincennes, IN
National Provider Identifier
1255663100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004755A
- Practice address
- 2121 Willow St
Vincennes, IN 47591-5355 - Phone
- (812) 882-1141
- Fax
- (812) 255-0045
- NPI assigned
- Feb 3, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004755A | IN | Primary |
Addresses
Primary practice location
2121 Willow St
Vincennes, IN 47591-5355
Mailing address
7300 E Indiana St
Suite 102
Evansville, IN 47715-2794
Phone (812) 476-0409
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000702810 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200976770 | Medicaid | IN |
Other names 1
- Kristy A Scherer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004755A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Orthopaedic Surgeons, Inc. | Past | Accepting new patients |
Interoperability endpoints
- referral3@prorehab-vincennes.direct.kno2fy.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1255663100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST",
"address_2": "SUITE 102",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152794",
"telephone_number": "812-476-0409",
"fax_number": "812-476-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WILLOW ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915355",
"telephone_number": "812-882-1141",
"fax_number": "812-255-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "KRISTY",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004755A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000702810",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200976770",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "SCHERER",
"middle_name": "A",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.