Mary Krikor, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704291626 Issued in MI

Practice address

36190 Waltham Dr
Sterling Heights, MI 48310-4831

Phone

(734) 925-3165

Fax

(734) 925-3165

NPI assigned

Jul 12, 2017

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1891217873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36190 WALTHAM DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104502",
            "telephone_number": "734-925-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36190 WALTHAM DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104831",
            "telephone_number": "734-925-3165",
            "fax_number": "734-925-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIKOR",
        "first_name": "MARY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704291626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F0415037",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "4704291626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Krause
• Katie Marie Krauseneck, MS, OTR/L
• Ashley Krauser, D.O.
• Steven Krepp, M.A., CF-SLP
• Amanda Elizabeth Krieg, RD
• Vidya Krishnamurthy, RN
• Jennifer Krist
• Kristi Marth Ma LPC NCC PLLC
• Kristi Marth Ma LPC NCC PLLC
• Robert Kristoff

• Family Nurse Practitioner in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.