Active NPI
Susan E Krelic, R.N.
- School Registered Nurse
- Phoenix, AZ
National Provider Identifier
1730200718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN032453
- Practice address
- 6000 S 7TH St
Phoenix, AZ 85042-4209 - Phone
- (602) 232-4983
- Fax
- (602) 243-4926
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN032453 | AZ | Primary |
Addresses
Primary practice location
6000 S 7TH St
Phoenix, AZ 85042-4209
Mailing address
15781 S Maverick TRL
Mayer, AZ 86333-2309
Phone (602) 232-4983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 761842 | Other | AZ | AHCCCS ID # |
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 |
|---|---|---|---|
| RN032453 | AZ | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1548382179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730200718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15781 S MAVERICK TRL",
"city": "MAYER",
"state": "AZ",
"postal_code": "863332309",
"telephone_number": "602-232-4983",
"fax_number": "602-243-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 S 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424209",
"telephone_number": "602-232-4983",
"fax_number": "602-243-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRELIC",
"first_name": "SUSAN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN032453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID #",
"identifier": "761842",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.