Active NPI
Beverly Kreitzer
- Speech-Language Pathologist
- Holly Springs, NC
National Provider Identifier
1538527155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11680
- Practice address
- 100 Braxberry Way
Holly Springs, NC 27540-8452 - Phone
- (702) 279-3751
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11680 | NC | Primary |
Addresses
Primary practice location
100 Braxberry Way
Holly Springs, NC 27540-8452
Mailing address
100 Braxberry Way
Holly Springs, NC 27540-8452
Phone (702) 279-3751
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 |
|---|---|---|---|
| 11680 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1538527155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRAXBERRY WAY",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408452",
"telephone_number": "702-279-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRAXBERRY WAY",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408452",
"telephone_number": "702-279-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREITZER",
"first_name": "BEVERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
- Luke Korfonta
- Samantha Taylor Korn, MD
- Linda Rueckert Kraft, MSW
- Elena Alexandrovna Kramarenko
- Jon Kramer
- Andrew John Krieger, M.D.
- Kristen H Fritz DDS Ms and M Cliff Wilson DDS Ms
- Kristen H. Fritz, D.D.S., M.S. & Todd S. Bovenizer, D.D.S., M.S., P.a.
- Kristin Nakhla, Therapist, PLLC
- Steven E Kroupa, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.