Individual provider Active NPI

Greta Logan Krause, D.O.

  • Psychiatry Physician
  • Plainfield, IN
National Provider Identifier
1457644304
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02004188A Issued in IN
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
02004188AINMDPsychiatry 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.

Verify at the official NPI Registry.