Carolyn Louise Krenkel, NP
Individual provider Active NPI Nurse Practitioner · Woodlawn, VA
NPI 1295700698 · NPPES record last updated Dec 22, 2015
Key facts
- NPI
- 1295700698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024171506 (VA)
- Practice address
- 5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030 - Phone
- (276) 238-8876
- Fax
- (276) 238-8886
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Care | Current |
Accepting new patients | |
| Pain Management Center of Southern Indiana, Inc. | Past | Accepting new patients | |
| Pain Management Center of Southern Indiana | Past | Accepting new patients |
Locations
4019 W 12600 S
Ste 120
Riverton, UT 84096
Phone (801) 273-0100
9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300
2019 E Riverside Dr
Ste A101
St George, UT 84790
Phone (435) 656-1699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024171506 | VA | Yes |
Addresses
Primary practice location
5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030
Mailing address
10900 Nuckols Rd 110
Glen Allen, VA 23060-9246
Phone (804) 396-6412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261083931 | Other | TAX ID | |
| C10361 | Other | GROUP ORGANIZATION PTAN | |
| 1295700698 | Medicaid | VA | |
| DN2980 | Other | GROUP PTAN | |
| Q52983 | Other | PTAN |
Other providers in Woodlawn, VA
- Angela P Harris
- Diane Karen Helm
- Susan Michelle Hill
- Kelly Holderfield
- Kimberly Nichole Horton
- Lifetime Eye Care C. Houston Teaters, OD, PC
- Arneda Faye Lyons
- Nancy Ann Marshall
- Mid-Atlantic Eldercare, PLLC
- Mid-Atlantic Quickcare PLLC
All providers in Woodlawn, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.