Individual provider Active NPI

Timothy Krzys, MSN, RN

  • Adult Health Clinical Nurse Specialist
  • East Lansing, MI
National Provider Identifier
1568790244
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
4704131359 Issued in MI
Practice address
2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone
(517) 332-4263
Fax
(517) 332-1132
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 4704131359 MI Primary

Addresses

Primary practice location

2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916

Mailing address

2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone (517) 332-4263

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704131359MIMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1568790244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MERRITT RD",
            "address_2": "SUITE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236916",
            "telephone_number": "517-332-4263",
            "fax_number": "517-332-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MERRITT RD",
            "address_2": "SUITE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236916",
            "telephone_number": "517-332-4263",
            "fax_number": "517-332-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYS",
        "first_name": "TIMOTHY",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MI",
            "license": "4704131359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.