Active NPI
Kayla Michelle Kretzer, CRNP
- Family Nurse Practitioner
- Decatur, AL
National Provider Identifier
1750803540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06170016
- Practice address
- 2941 Point Mallard Pkwy SE Ste N
Decatur, AL 35603-5760 - Phone
- (256) 432-2822
- NPI assigned
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06170016 | AL | Primary |
Addresses
Primary practice location
2941 Point Mallard Pkwy SE Ste N
Decatur, AL 35603-5760
Mailing address
541 Iron Man Rd
Hartselle, AL 35640-6609
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06170016 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1750803540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 IRON MAN RD",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356406609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 POINT MALLARD PKWY SE STE N",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035760",
"telephone_number": "256-432-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETZER",
"first_name": "KAYLA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "F06170016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.