Carolyn Kretsch

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019514 Issued in CA

Practice address

2441 Curtis St Apt D
Berkeley, CA 94702-2056

Phone

(651) 341-8863

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Kretsch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1851052633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 CURTIS ST APT D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022056",
            "telephone_number": "651-341-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CURTIS ST APT D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022056",
            "telephone_number": "651-341-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETSCH",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019514",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95204483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KRETSCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Kraus, LCSW
• Ronald M Krauss, MD
• Joel Kreisberg, DC, CCH
• Lauren Kremer, RD
• Chris Kresser, LA.C
• Bridgette Kreuz
• Bryan Reed Krey, D.M.D.
• Allison Krieger, PSY.D.
• Oleg I Krijanovski, MD, PHD
• Kristina Zoulas, DDS, Inc.

• Family Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.