Active NPI
Joy D Kreskow, CRNP
- Primary Care Nurse Practitioner
- Germantown, MD
National Provider Identifier
1508010687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R138398
- Practice address
- 19735 Germantown Rd
Suite 300
Germantown, MD 20874-1214 - Phone
- (301) 634-9600
- NPI assigned
- Nov 16, 2008
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R138398 | MD | Primary |
Addresses
Primary practice location
19735 Germantown Rd
Suite 300
Germantown, MD 20874-1214
Mailing address
19735 Germantown Rd
Suite 300
Germantown, MD 20874-1214
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R138398 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1508010687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19735 GERMANTOWN RD",
"address_2": "SUITE 300",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19735 GERMANTOWN RD",
"address_2": "SUITE 300",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741214",
"telephone_number": "301-634-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESKOW",
"first_name": "JOY",
"middle_name": "D",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-16",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R138398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.