Individual provider Active NPI

Kristin Kreuder

  • Licensed Practical Nurse
  • Orchard Park, NY
National Provider Identifier
1790100162
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
304192 Issued in NY
Practice address
3725 N Buffalo St
Suite 2
Orchard Park, NY 14127-1853
Phone
(716) 662-2300
Fax
(716) 972-0006
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 304192 NY Primary

Addresses

Primary practice location

3725 N Buffalo St
Suite 2
Orchard Park, NY 14127-1853

Mailing address

3725 N Buffalo St
Suite 2
Orchard Park, NY 14127-1853
Phone (716) 662-2300

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

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1790100162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE 2",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-972-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE 2",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-972-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUDER",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.