Active NPI
Judi M Kruse, APRN,BC
- Family Nurse Practitioner
- Higginsville, MO
National Provider Identifier
1376625541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN075514
- Practice address
- 1200 W 22ND St
Higginsville, MO 64037-1420 - Phone
- (660) 584-7751
- Fax
- (660) 584-8261
- NPI assigned
- Oct 19, 2006
- Last updated
- Jan 7, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN075514 | MO | Primary |
Addresses
Primary practice location
1200 W 22ND St
Higginsville, MO 64037-1420
Mailing address
79 Beach Dr
Lake Tapawingo, MO 64015-9686
Phone (816) 803-8542
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN075514 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1376625541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 BEACH DR",
"city": "LAKE TAPAWINGO",
"state": "MO",
"postal_code": "640159686",
"telephone_number": "816-803-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W 22ND ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "640371420",
"telephone_number": "660-584-7751",
"fax_number": "660-584-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "JUDI",
"middle_name": "M",
"credential": "APRN,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "RN075514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Higginsville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.