Individual provider Active NPI

Kenneth L. Kretz Sr., CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1699713123
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4-25900 Issued in TX
Practice address
4714 Ascot Pkwy
Temple, TX 76502-3088
Phone
(254) 774-8042
Fax
(254) 774-8815
NPI assigned
Jun 4, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4-25900 TX Primary

Addresses

Primary practice location

4714 Ascot Pkwy
Temple, TX 76502-3088

Mailing address

4714 Ascot Pkwy
Temple, TX 76502-3088
Phone (254) 774-8042

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)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4-25900TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Providers of East Texas, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Ascension Seton Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Amarillo Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients
Katy West Houston Anesthesia PA Past Accepting new patients
Smithville Hospital Authority Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1699713123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 ASCOT PKWY",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023088",
            "telephone_number": "254-774-8042",
            "fax_number": "254-774-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 ASCOT PKWY",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023088",
            "telephone_number": "254-774-8042",
            "fax_number": "254-774-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "4-25900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.