Individual provider Active NPI

Rebecca Jean Kruzel, OPA-C

  • Specialist
  • Frisco, TX
National Provider Identifier
1528138161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
4461 Coit Rd
Ste 101
Frisco, TX 75035-0521
Phone
(972) 335-8455
Fax
(972) 335-7560
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TX Primary

Addresses

Primary practice location

4461 Coit Rd
Ste 101
Frisco, TX 75035-0521

Mailing address

4461 Coit Rd
Ste 101
Frisco, TX 75035-0521
Phone (972) 335-8455

Other identifiers 1

IdentifierTypeStateIssuer
903OtherTXOPA-C CERTIFICATE

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

LicenseStateTypeSpecialty
099402432TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528138161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "972-335-8455",
            "fax_number": "972-335-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "972-335-8455",
            "fax_number": "972-335-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZEL",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "OPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPA-C CERTIFICATE",
            "identifier": "903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.