Individual provider Active NPI

Cynthia Ann Krueger, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1396070082
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
679393 Issued in TX
Practice address
5727 Kissing Oak St
San Antonio, TX 78247-1317
Phone
(210) 387-7963
Fax
(210) 590-3994
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 679393 TX Primary

Addresses

Primary practice location

5727 Kissing Oak St
San Antonio, TX 78247-1317

Mailing address

5727 Kissing Oak St
San Antonio, TX 78247-1317
Phone (210) 387-7963

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
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
679393TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Doctors Texas PLLC Past Accepting new patients
Fred E Griffiths Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1396070082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 KISSING OAK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471317",
            "telephone_number": "210-387-7963",
            "fax_number": "210-590-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 KISSING OAK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471317",
            "telephone_number": "210-387-7963",
            "fax_number": "210-590-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "679393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.