Tara L Kroeger, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

515404 Issued in NY

Practice address

1515 Knox St
Ogdensburg, NY 13669-2849

Phone

(315) 393-7836

Fax

(315) 393-7652

NPI assigned

Nov 15, 2012

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

Other names 1

• Miss Tara L Bixby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1891039939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KNOX ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692849",
            "telephone_number": "315-393-7836",
            "fax_number": "315-393-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KNOX ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692849",
            "telephone_number": "315-393-7836",
            "fax_number": "315-393-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "515404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BIXBY",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pazliddin Kobilov, DDS
• Vijayasimha Kotha, MD
• Dennis J Kotlove, M.D.
• KPH Healthcare Services, Inc.
• Amy L Kramer
• Megan Kuiken, RN
• Daniel Kyung, M.D.
• Samantha Labarge, RN
• Brianne Labombard, RN
• Cynthia Annette Labrake

• School Registered Nurse in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.