Pearl F Kreklau-Caponera, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30006089 Issued in WA

Practice address

600 Caisson Hill Rd
US Meddac, Iach
Fort Riley, KS 66442-7037

Phone

(785) 240-7494

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364083200000",
    "number": "1902815871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "address_2": "US MEDDAC, IACH",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664427037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "address_2": "US MEDDAC, IACH",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "785-240-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKLAU-CAPONERA",
        "first_name": "PEARL",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Knutt, MSDH, RDH, CST
• Tatum Breanne Komlodi, MAT, LAT, ATC
• Nickolas Kondiles, MD
• George Kontogiannis, MD
• Jessica Elaine Kramer, CNM
• Jeffery R Kreuser, AT-C
• Bethanie Krinhop, LCSW
• Joseph Vance Kulbiski, CLINICAL SOCIAL WORK
• Kyanna Shelar Kuntz, APRN, CNM
• Matthew Philip Kurman, PA-C

• All providers in Fort Riley, KS
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.