Dawn Kretz, DNP, CPNP-PC, IBCLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R167581 Issued in MD

Practice address

4105 Great Oak Rd
Rockville, MD 20853-1854

Phone

(917) 822-9031

NPI assigned

Nov 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dawn.lopes.kretz.1@8042.direct.athenahealth.com

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1629442256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 GREAT OAK RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531854",
            "telephone_number": "917-822-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 GREAT OAK RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531854",
            "telephone_number": "917-822-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "DAWN",
        "credential": "DNP, CPNP-PC, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R167581",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R167581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Bruce Kravitz, M.D.
• Scott David Kreeger, LCSW
• Ira Paul Krefting, M.D.
• Bryan W. Kreitlow, PT, DPT
• Rachel Samantha Krempa
• Tori Kreuger
• Myles Krinsky
• Kamal Krishna
• Ronica Krishnan
• Joan Kristal, M.D

• Pediatric Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.