Active NPI
Kristin Swets
- Other Technician
- Kentwood, MI
National Provider Identifier
1528519337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 4542 Marshall Ave SE
Kentwood, MI 49508-7574 - Phone
- (616) 826-4291
- NPI assigned
- Oct 17, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
4542 Marshall Ave SE
Kentwood, MI 49508-7574
Mailing address
4542 Marshall Ave SE
Kentwood, MI 49508-7574
Phone (616) 826-4291
Other names 1
- Kristin Michelle Fredenburg
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1528519337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4542 MARSHALL AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495087574",
"telephone_number": "616-826-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 MARSHALL AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495087574",
"telephone_number": "616-826-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWETS",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "FREDENBURG",
"middle_name": "MICHELLE",
"credential": "BSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.