Kimberly Kay Krusi, CO 60739297

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60739297 Issued in WA

Practice address

1415 Lumsden Rd
Port Orchard, WA 98367-9179

Phone

(360) 876-9430

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.krusi.p1@direct.pgsklallamtribe.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Sound Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Port Orchard, WA
  • NPI 1518183763
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1578030128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LUMSDEN RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679179",
            "telephone_number": "360-876-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LUMSDEN RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679179",
            "telephone_number": "360-876-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSI",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "CO 60739297",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60739297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "CO60739297",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Nikkol Koski
• Alexander J Kreider
• Gavin Kremian
• Cynthia Lynn Krizauskas, OT R/L
• Olivia Marie Krog
• Kristina Kuil
• Angela Kunz
• L.E.a.P.S. and Beyond, Inc
• Laboratory Corporation of America
• Doddie A Lagervall, CP60310560

• Addiction (Substance Use Disorder) Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.