Active NPI
Sarah T Kruger, NP
- Nurse Practitioner
- Madison, WI
National Provider Identifier
1699723080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1978-033
- Practice address
- 3434 E Washington Ave
Madison, WI 53704-4155 - Phone
- (608) 443-5480
- Fax
- (608) 443-5554
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1978-033 | WI | Primary |
Addresses
Primary practice location
3434 E Washington Ave
Madison, WI 53704-4155
Mailing address
2901 W Beltline Hwy
Ste 120
Madison, WI 53713-4226
Phone (608) 443-5603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41175700 | Medicaid | WI | |
| 115722-30 | Other | WI | RN WI LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1978 | WI | MD | Physical Therapy Assistant |
| 1978-033 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1699723080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 W BELTLINE HWY",
"address_2": "STE 120",
"city": "MADISON",
"state": "WI",
"postal_code": "537134226",
"telephone_number": "608-443-5603",
"fax_number": "608-441-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044155",
"telephone_number": "608-443-5480",
"fax_number": "608-443-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "SARAH",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1978-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41175700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN WI LICENSE",
"identifier": "115722-30",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.