Active NPI
Peggy Anne Krueger, RN
- Registered Nurse
- Yakima, WA
National Provider Identifier
1659617132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00048232
- Practice address
- 902 S 44TH Ave
Yakima, WA 98908-3838 - Phone
- (509) 573-2400
- Fax
- (509) 573-2424
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00048232 | WA | Primary |
Addresses
Primary practice location
902 S 44TH Ave
Yakima, WA 98908-3838
Mailing address
3281 Ashue Rd
Wapato, WA 98951-9762
Phone (509) 877-6955
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00048232 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1659617132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3281 ASHUE RD",
"city": "WAPATO",
"state": "WA",
"postal_code": "989519762",
"telephone_number": "509-877-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S 44TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083838",
"telephone_number": "509-573-2400",
"fax_number": "509-573-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "PEGGY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00048232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.