Judi M Kruse, APRN,BC
Individual provider Active NPI Family Nurse Practitioner · Higginsville, MO
NPI 1376625541 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1376625541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN075514 (MO)
- Practice address
- 1200 W 22ND St
Higginsville, MO 64037-1420 - Phone
- (660) 584-7751
- Fax
- (660) 584-8261
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN075514 | MO | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN075514 | MO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428502108 | Medicaid | MO |
Other providers in Higginsville, MO
- Katelyn Homfeld
- Blair Hunter
- Rachel Len Huston
- Innate Chiropractic & Wellness Center LLC
- Russell J Jensen
- Lafayette Co C-1 School District
- Lafayette County Board of Sheltered Services
- Lafayette County Board of Sheltered Services
- Carla Looney
- Cody Mason
All providers in Higginsville, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.