Active NPI
Kristie Lynne Kreutzfeld, D.C.
- Chiropractor
- Cottonwood, AZ
National Provider Identifier
1851448443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC4916
- Practice address
- 1770 E Villa Dr
Suite #5
Cottonwood, AZ 86326-4647 - Phone
- (928) 634-7930
- Fax
- (928) 634-7930
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC4916 | AZ | Primary |
Addresses
Primary practice location
1770 E Villa Dr
Suite #5
Cottonwood, AZ 86326-4647
Mailing address
1770 E Villa Dr
Suite #5
Cottonwood, AZ 86326-4647
Phone (928) 634-7930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1756 E Villa Dr
Suite C4
Cottonwood, AZ 86326-4741
Phone (928) 634-7930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC4916 | AZ | MD | Chiropractor |
| 4916 | AZ | MD | Blind Rehabilitation Specialist/Technologist |
Organizations & group practices 1
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.
-
- Chiropractor
- Cottonwood, AZ
- NPI 1770768475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851448443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 E VILLA DR",
"address_2": "SUITE #5",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264647",
"telephone_number": "928-634-7930",
"fax_number": "928-634-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 E VILLA DR",
"address_2": "SUITE #5",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264647",
"telephone_number": "928-634-7930",
"fax_number": "928-634-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUTZFELD",
"first_name": "KRISTIE",
"middle_name": "LYNNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "DC4916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.