Jacqueline Krzanik, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1010031947 Issued in VT

Practice address

140 Hospital Dr
Suite 215
Bennington, VT 05201-5009

Phone

(802) 442-4785

Fax

(802) 447-3459

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

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

• Emil P. Miskovsky MD PC

  • Gastroenterology Physician
  • Bennington, VT
  • NPI 1528023116
  NPD (past)
• Southwestern Vermont Medical Center, Inc

  • Orthopaedic Surgery Physician
  • Bennington, VT
  • NPI 1487930632
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1710949045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 215",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-442-4785",
            "fax_number": "802-447-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 215",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-442-4785",
            "fax_number": "802-447-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZANIK",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010031947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012144",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nels Andreas Kloster, MD
• Ellen G Knapp, LICSW
• Victoria Nicole Knapp, RN
• Amy Susan Kranick, CNM
• Joseph Harold Kratzer, MD
• Jane Kunin, LICSW
• Daniel S Kusick, M.D.
• Crystal Labbe-Hasty, PA-C
• Morgan Laduca, LICSW
• Taija Lafountain

• All providers in Bennington, VT
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.