Active NPI
Kenneth L. Kretz Sr., CRNA
- Certified Registered Nurse Anesthetist
- Temple, TX
National Provider Identifier
1699713123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4-25900
- 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, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4-25900 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1326196288
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Certified Registered Nurse Anesthetist
- Palestine, TX
- NPI 1063400075
Nurse Anesthetist, Certified Registered
-
dba Ascension Seton Smithville
- General Acute Care Hospital
- Smithville, TX
- NPI 1154612638
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1700875069
-
- General Acute Care Hospital
- Smithville, TX
- NPI 1801893417
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.