Individual provider Active NPI

Rylee Mae Krzywdzinski

  • Technician/Technologist
  • Garden City, MI
National Provider Identifier
1528734993
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
32260 Pierce St
Garden City, MI 48135-3238
Phone
(734) 612-6264
NPI assigned
Aug 17, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X NU Primary

Addresses

Primary practice location

32260 Pierce St
Garden City, MI 48135-3238

Mailing address

13973 Farmington Rd
Livonia, MI 48154-5403
Phone (248) 621-4792

Other identifiers 1

IdentifierTypeStateIssuer
K623755572475OtherMIBEHAVIORAL TECHNICHIAN

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1528734993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13973 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545403",
            "telephone_number": "248-621-4792",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32260 PIERCE ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353238",
            "telephone_number": "734-612-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYWDZINSKI",
        "first_name": "RYLEE",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL TECHNICHIAN",
            "identifier": "K623755572475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.