Cynthia D Kruse

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

0776038761 Issued in OR

Practice address

68830 Chestnut Dr
Sisters, OR 97759-9601

Phone

(541) 788-2231

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

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

Other identifiers 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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1265015440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68830 CHESTNUT DR",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977599601",
            "telephone_number": "541-788-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68830 CHESTNUT DR",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977599601",
            "telephone_number": "541-788-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OR",
            "license": "0776038761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DRIVERS LICENSE",
            "identifier": "1777765",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Woolsey King
• Ida Kolodziejczyk
• Timothy Korm, PMHNP-BC
• Kristi Lyn Rhodes
• Kristine L Falco PSYD PC
• Sarah J Leet, P.A.
• Inger Johanne Lied, MD
• Justin Gerald Bixby Little, M.S., LMFT
• Luis Daniel Lopez, L.A.C.
• Robyn Lopez

• Infusion Therapy Registered Nurse in Sisters, OR
• Providers in Sisters, OR by specialty
• Infusion Therapy Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.