Tracy Ann Krueger, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

154439-030 Issued in WI

Practice address

W4412 County Road R
Merrill, WI 54452-8748

Phone

(715) 536-5506

NPI assigned

Jan 19, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2010.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1376874115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4412 COUNTY ROAD R",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544528748",
            "telephone_number": "715-536-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W4412 COUNTY ROAD R",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544528748",
            "telephone_number": "715-536-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "154439-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Klingbeil
• Travis Lee Klug
• Melissa Koengeter, APNP
• Kristine Koerner-Bowe
• Taylor Nathaleen Krueger, LPC-IT
• Christian E Lee, MD
• Evelyn Lee
• Thomas Lehman
• Benson Leskela, C.O.T.A.
• Jennifer Lee Leskela

• All providers in Merrill, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.