Angela Kay Kruse, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

9495 Holy Cross LN
Suite 103
Breese, IL 62230-3510

Phone

(618) 526-2222

Fax

(618) 526-7680

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas a Kruse MD LLC

  • Family Medicine Physician
  • Breese, IL
  • NPI 1518049204
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841306131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ZORN RD",
            "city": "POCAHONTAS",
            "state": "IL",
            "postal_code": "622753644",
            "telephone_number": "618-669-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 HOLY CROSS LN",
            "address_2": "SUITE 103",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-2222",
            "fax_number": "618-526-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Koehler, CNM
• Leslie Kohnen, PT, DPT
• Amanda Nichole Korte, N.P.
• Breck D Kramper, WHNP
• Amy Kathleen Krause, PA
• Austin Douglas Kuhl
• Douglas M. Kuhl, M.D.
• Jacqueline L. Kunz, RNC, NNP
• Karen Lager, MD
• Ryan Derek Lampe, PT/ATC

• Registered Dietitian in Breese, IL
• Providers in Breese, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.