Sonam Krichbaum, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704271123 Issued in MI

Practice address

302 E Liberty St Ste 201
Ann Arbor, MI 48104-2206

Phone

(734) 846-8792

NPI assigned

Aug 16, 2017

Last updated

Nov 7, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skrichbaum1083386@direct.hfhs.org
• Direct secure messaging: sonam.krichbaum.1@19270.direct.athenahealth.com

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

• Family Medical Center of Michigan, Inc

  • Federally Qualified Health Center (FQHC)
  • Adrian, MI
  • NPI 1457640930
  NPD
• Family Medical Center of Michigan,Inc

  dba Family Medical Center-Monroe Main

  • Federally Qualified Health Center (FQHC)
  • Monroe, MI
  • NPI 1023655149
  NPD
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812
  NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1689190167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E LIBERTY ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042206",
            "telephone_number": "734-846-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E LIBERTY ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042206",
            "telephone_number": "734-846-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 E Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Whitmore Lake",
            "state": "MI",
            "postal_code": "481899104",
            "country_code": "US",
            "telephone_number": "734-846-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRICHBAUM",
        "first_name": "SONAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704271123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zvi Aryeh Kresch, MD
• Rachel Kress, LMSW
• Matthew Kretschmer, PA
• Matthias Kretzler, MD
• John Krezel
• Kathleen Krieg
• Kristen Arlene Krieger, MD
• Sandra K Kriegish, LLP
• Kenneth Thomas Krill, MD
• Keith L. Krings, PT

• Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.