McKenna Logan Kreger

Key facts

NPI

1881452027

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

7550 France Ave S Ste 200
Minneapolis, MN 55435-4788

Phone

(952) 955-4057

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Midwest Autism and Therapy Center of Iowa, LLC Behavior Analyst · Altoona, IA · NPI 1699420083
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1881452027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554354788",
            "telephone_number": "952-955-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554354788",
            "telephone_number": "952-955-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGER",
        "first_name": "MCKENNA",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

• Nicholas William Krawczyk, MD
• Angela Kathleen Krebs, MA, LAMFT
• Erin E Krebs, MD
• Jacqueline Marie Krech, RN
• Kayleigh Krech
• Margaret Lois Kreider Carlson, MD
• Kreider Starrs Consulting, LLC
• Kelsey Suzanna Kreider Starrs, MSW, LICSW, CDW-F
• Kelly Kreimer
• Jodi L Kreiser, NNP

All providers in Minneapolis, MN · Behavior Technician in Minnesota