David A. Krueger Andes, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2403 Issued in NC

Practice address

2224 Lacy St
Burlington, NC 27215-5341

Phone

(336) 584-1744

Fax

(336) 538-2429

NPI assigned

Oct 10, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811085376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1252",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272441252",
            "telephone_number": "336-584-1744",
            "fax_number": "336-538-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 LACY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155341",
            "telephone_number": "336-584-1744",
            "fax_number": "336-538-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER ANDES",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "308",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL",
            "identifier": "1030751",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000913",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "0464A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce J. Kowalski, M.D.
• David Carl Kowalski, M.D.
• Aaron Krah, LMBT
• Kevin Leo Krasinski, M.D.
• Kevin Ray Kronbergs, PTA
• Elizabeth M Krzysztoforska, DDS
• Andrew Kubinski
• Josh Kuenzli
• Maggie Kuenzli, OTR/L
• Sachit Kumar

• Psychologist in Burlington, NC
• Providers in Burlington, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.