Scarlett Marion Kroencke, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3832 Issued in CA

Practice address

1712 Picasso Ave
Suite C
Davis, CA 95618-0546

Phone

(530) 753-6280

Fax

(530) 753-6281

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: skroencke35650@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1750331666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE",
            "address_2": "SUITE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180546",
            "telephone_number": "530-753-6280",
            "fax_number": "530-753-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE",
            "address_2": "SUITE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180546",
            "telephone_number": "530-753-6280",
            "fax_number": "530-753-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENCKE",
        "first_name": "SCARLETT",
        "middle_name": "MARION",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3832",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00119813",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiana Barbara Kontaxis
• Lori Ann Kornblatt, PT
• Helaina Laks Kravitz
• Helen Louise Krell, MD
• Katherine Elizabeth Krinsky
• Kerry Krohn
• Scott Kugler
• Jami Michelle Kulkin, LMFT, CHT, DNHCP
• Katie Kurtovic, MFT, ATR-BC
• Kurt S. Kusserow, MD

• Podiatrist in Davis, CA
• Providers in Davis, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.