Active NPI
Kimberly Cronk, RN
- Registered Nurse
- Eau Claire, WI
National Provider Identifier
1699115337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 167100-30
- Practice address
- 1019 Huebsch Blvd
Eau Claire, WI 54701-4233 - Phone
- (715) 475-8119
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 167100-30 | WI | Primary |
Addresses
Primary practice location
1019 Huebsch Blvd
Eau Claire, WI 54701-4233
Mailing address
1019 Huebsch Blvd
Eau Claire, WI 54701-4233
Phone (715) 475-8119
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 |
|---|---|---|---|
| 167100-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1699115337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 HUEBSCH BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014233",
"telephone_number": "715-475-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 HUEBSCH BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014233",
"telephone_number": "715-475-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONK",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "167100-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.