Active NPI
Greta Logan Krause, D.O.
- Psychiatry Physician
- Plainfield, IN
National Provider Identifier
1457644304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 02004188A
- Practice address
- 1729 E Main St
Plainfield, IN 46168-1812 - Phone
- (317) 742-5255
- Fax
- (844) 711-3169
- NPI assigned
- May 25, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 02004188A | IN | Primary |
Addresses
Primary practice location
1729 E Main St
Plainfield, IN 46168-1812
Mailing address
1729 E Main St
Plainfield, IN 46168-1812
Phone (317) 742-5255
Other practice location 1
1100 Southfield Dr
Ste 1205
Plainfield, IN 46168-4498
Phone (317) 718-8436
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004188A | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457644304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 E MAIN ST",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461681812",
"telephone_number": "317-742-5255",
"fax_number": "844-711-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 E MAIN ST",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461681812",
"telephone_number": "317-742-5255",
"fax_number": "844-711-3169"
}
],
"practiceLocations": [
{
"address_1": "1100 Southfield Dr",
"address_2": "Ste 1205",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IN",
"postal_code": "461684498",
"country_code": "US",
"telephone_number": "317-718-8436",
"fax_number": "317-718-8438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAUSE",
"first_name": "GRETA",
"middle_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "02004188A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.