Active NPI
Janice Krenzke, M.S., CCC/SLP
- Speech-Language Pathologist
- Fairbanks, AK
National Provider Identifier
1740728252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 120237
- Practice address
- 1020 Barnette St
Fairbanks, AK 99701-4502 - Phone
- (907) 978-1252
- NPI assigned
- Feb 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 120237 | AK | Primary |
Addresses
Primary practice location
1020 Barnette St
Fairbanks, AK 99701-4502
Mailing address
PO Box 422
Nenana, AK 99760-0422
Phone (907) 978-1252
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120237 | AK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492819200000",
"number": "1740728252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "NENANA",
"state": "AK",
"postal_code": "997600422",
"telephone_number": "907-978-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 BARNETTE ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014502",
"telephone_number": "907-978-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRENZKE",
"first_name": "JANICE",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-03",
"last_updated": "2017-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "120237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.