Tracy Suzanne Kretzmer, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 7755 Issued in FL

Practice address

13000 Bruce B Downs Blvd
MH&BS 116B
Tampa, FL 33612-4745

Phone

(813) 972-2000

Fax

(813) 903-4814

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1598913105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "MH&BS 116B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000",
            "fax_number": "813-903-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "MH&BS 116B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-972-2000",
            "fax_number": "813-903-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZMER",
        "first_name": "TRACY",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 7755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Cerbito Kravatz, OD
• Joseph Orville Krebs, M.D.
• Stephen Mordecai Kreitzer, M.D.
• Anna Marie Kresek, M.S., CCC-SLP
• Taylor Ann Kress, PA-C
• Paula Nicole Kreutzer
• Jeffrey Nicolas Kriegl, APRN
• Tyler Krinkie, PHARM.D
• Kris Mulhollen LLC
• Stephen Michael Krist, DDS

• Clinical Neuropsychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.