Active NPI
Christine Krueger, RN.RD,CDE,CDN
- Diabetes Educator Registered Nurse
- Auburn, NY
National Provider Identifier
1508931015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 2002-0328
- Practice address
- 37 W Garden St Ste 201
Auburn, NY 13021-2657 - Phone
- (315) 567-0700
- Fax
- (315) 253-8104
- NPI assigned
- Nov 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 003891-01 | NY | |
| Registered Nurse | 163W00000X | 613229-01 | NY | |
| Diabetes Educator Registered Nurse | 163WD0400X | 2002-0328 | NY | Primary |
Addresses
Primary practice location
37 W Garden St Ste 201
Auburn, NY 13021-2657
Mailing address
37 W Garden St Ste 201
Auburn, NY 13021-2657
Phone (315) 567-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003891-01 | NY | MD | Registered Dietitian |
| 613229-01 | NY | MD | Registered Nurse |
| 2002-0328 | NY | MD | Diabetes Educator Registered Nurse |
| 003891 | NY | MD | Acupuncturist |
| 2911 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1508931015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W GARDEN ST STE 201",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212657",
"telephone_number": "315-567-0700",
"fax_number": "315-253-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W GARDEN ST STE 201",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212657",
"telephone_number": "315-567-0700",
"fax_number": "315-253-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "CHRISTINE",
"credential": "RN.RD,CDE,CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "003891-01",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "613229-01",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "2002-0328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.